Seat Belt-Related Thyroiditis Documented with Thyroid Tc-99m Pertechnetate Scans

Leckie, Robert G.; Buckner, Arthur B.; Bornemann, Michael

doi:10.1097/00003072-199211000-00003

Cited by 12 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Subacute thyroiditis with release of preformed hormone into the circulation and subsequent development of thyrotoxicosis may result from direct trauma to the thyroid gland. Many reports have documented traumatic thyroiditis resulting from seat belt use [27], martial arts activity [28], thyroid gland manipulation during surgical procedures [29], needle aspiration of thyroid cysts and biopsy [30], parathyroidectomy [31], or vigorous physical examination [32]. In all these situations, mild or severe clinical and biochemical features of thyrotoxicosis in patients with no evidence of any underlying thyroid pathology should lead to the diagnosis of traumatic thyroiditis.…”

Section: Thyrotoxicosis As a Results Of Traumamentioning

confidence: 99%

Iatrogenic Thyrotoxicosis: Causal Circumstances, Pathophysiology, and Principles of Treatment—Review of the Literature

et al. 2000

View full text Add to dashboard Cite

Thyrotoxicosis is the clinical syndrome that results when tissues are exposed to high levels of circulating thyroid hormones. In most instances thyrotoxicosis is due to hyperthyroidism, a term reserved for disorders characterized by overproduction of thyroid hormones by the thyroid gland. Nevertheless, thyrotoxicosis may also result from a variety of conditions other than thyroid hyperfunction. The present report focuses on the etiologies, pathophysiology, and treatment of iatrogenic thyrotoxicosis. Iatrogenic thyrotoxicosis may be caused by (1) subacute thyroiditis (a result of lymphocytic infiltration, cellular injury, trauma, irradiation) with release of preformed hormones into circulation; (2) excessive ingestion of thyroid hormones ("thyrotoxicosis factitia"); (3) iodine-induced hyperthyroidism (radiologic contrast agents, topical antiseptics, other medications). Among these causes of iatrogenic thyrotoxicosis, that induced by the iodine overload and cytotoxicity associated with amiodarone represents a significant challenge. Successful management of amiodarone-induced thyrotoxicosis requires close cooperation between endocrinologists and endocrine surgeons. Surgical treatment may have a leading yet often underestimated role in view of the potential life-threatening severity of this disease, whereas others kinds of iatrogenic thyrotoxicosis are usually treated conservatively.

show abstract

Section: Thyrotoxicosis As a Results Of Traumamentioning

confidence: 99%

Iatrogenic Thyrotoxicosis: Causal Circumstances, Pathophysiology, and Principles of Treatment—Review of the Literature

et al. 2000

View full text Add to dashboard Cite

show abstract

“…Direct trauma to the thyroid area (such as may be caused by the chin strap of a motorcycle helmet) has been documented as causing a traumatic thyroiditis, but is not known to cause an acute hyperthyroid state 5. From the history the family gave, the patient had obviously been thyrotoxic for some time before his accident.…”

Section: Discussionmentioning

confidence: 99%

Lesson of the Week: Thyrotoxicosis in a patient with multiple trauma: value of "AMPLE" history taking

Fitz-Henry

Riley

1996

BMJ

View full text Add to dashboard Cite

“…HPT terciario 2 casos Lederer (4) HPTP 4 casos Bergenfelz (13) HPTP 11 casos Lindblom (14) HPTP 1 caso Musi (15) Laringectomía 44 casos Salazar (5) HPTP 40 casos Stang (3) Laringofaringoesofagectomía 1 caso Calle (16) Laringectomía 1 caso Blenke (21) Laringectomía 1 caso McDermott (22) Trauma Posaspiración 6 casos Kobayashi (9) Tridente de pesca 1 caso Delikoukos (23) Trauma contuso 2 casos Delikoukos (23) Artes marciales 1 caso Blum (2) Estrangulación 1 caso Ramírez (11) Trauma 1 caso Kanbay (24) Accidente de tránsito 1 caso Hagiwara (25) Cinturón de seguridad 1 caso Leckie (7) terior del cuello. Ramírez et al (11) también reportaron el caso de una mujer de 37 años de edad que desarrolló una tormenta tiroidea luego de ser asaltada realizándole un torniquete en el cuello.…”

Section: Tirotoxicosis Posquirúrgicaunclassified

“…Ramírez et al (11) también reportaron el caso de una mujer de 37 años de edad que desarrolló una tormenta tiroidea luego de ser asaltada realizándole un torniquete en el cuello. Leckie et al (7) reportaron el caso de una mujer de 64 años de edad que presentaba un bloqueo en la captación de 99m Tc en el lóbulo izquierdo de la tiroides, posterior a un trauma crónico en el cuello con el cinturón de seguridad de su carro. Blum et al (2) reportaron el caso de un practicante de Aikido que desarrolló dos episodios de tiroiditis secundaria a trauma contuso directo al cuello anterior durante la práctica de artes marciales, en quien no se encontraron hallazgos de laboratorio sugestivos de otras patologías tiroideas.…”

Section: Tirotoxicosis Posquirúrgicaunclassified

“…La tiroiditis subaguda tiene múltiples etiologías, incluyendo irradiación, consumo de litio, amiodarona, fenómenos autoinmunes contra la tiroides, consumo de carne contaminada con glándula tiroides, ingestión intencionada o accidental de hormona tiroidea y trauma (1) . Diversas formas de trauma se han descrito como causales de tiroiditis, incluyendo trauma por artes marciales (2) , manipulación en procedimientos quirúrgicos (3)(4)(5)(6) , trauma con cinturón de seguridad de vehículo (7) , biopsia de tiroides (8,9) , examen físico vigoroso (10) e incluso casos de tormenta tiroidea por estrangulación (11) .…”

Section: Introductionunclassified

See 1 more Smart Citation

Tiroiditis por trauma en cuello luego de intento de suicidio. Reporte de caso y revisión de la literatura

Barrera

Gómez

González

2017

Rev.ACE

View full text Add to dashboard Cite

La tiroiditis es un fenómeno inflamatorio de la tiroides, de causas diversas, incluyendo raramente traumas de la región anterior del cuello. Se presenta el caso de un paciente con depresión mayor de curso crónico, con síntomas sicóticos y farmacodependencia, quien intenta suicidarse mediante ahorcamiento. Ingresa con un Glasgow de 3/15, por lo cual requiere intubación orotraqueal inmediata, posterior traslado a unidad de cuidados intensivos y ventilación mecánica durante diez días. Durante este periodo desarrolla taquicardia persistente, diaforesis y alteraciones del sensorio, se encontró TSH en 0,00 (0,4- 4 mUI/ml); una T3 total en 2,42, (0,8-2,0 ng/ml) y T4 libre >6 (0,93-1,70 ng/dL), la gammagrafía de tiroides con tecnecio 99 mostró bloqueo de la captación. Se sospechó tormenta tiroidea y recibió propranolol 80 mg vía oral cada 8 horas en forma continua e hidrocortisona 50 mg intravenosa cada 8 horas durante5 días. Los controles, dos semanas después, muestran TSH en 0,00 (0,4-4 uUI/ml) y una T4 libre de 1,78 (0,93-1,70 ng/dl) y cuatro días después normalización de la T4 libre (1,45 ng/dl), acompañado de mejoría clínica de los síntomas adrenérgicos.Se presenta el caso de un paciente con tiroiditis postrauma, entidad que debe ser sospechada en pacientes con trauma en el cuello que presenten síntomas de tirotoxicosis.AbstractThyroiditis is an inflammatory disorder of the thyroid, which stems from a variety of causes including in some rare cases trauma to the neck. We present the case of a male patient with chronic depression associated with psychotic symptoms and drug abuse that tried to commit suicide through hanging. The patient had a Glasgow Coma Scale 3/15 requiring orotracheal intubation, a stay in the intensive care unit and mechanical ventilation for 10 days. While in the ICU the patient developed persistent tachycardia, diaphoresis and changes in mental status. A suppressed TSH was found with a level of 0,00 (0,4-4 uUI/ml) and high thyroid hormone level (total T 2,42, (normal value 0,8-2,0 ng/ml) and free T >6 (normal value 0,93-1,70 ng/dL). A technetium-99 thyroid scintygraphy showed blocked uptake. With those findings, a thyroid storm was suspected and management was begun with propranolol 80 mg per mouth every 8 hours and IV hydrocortisone 50 mg every 8 hours for 5 days. Two weeks later, the TSH was 0,00 (0,4-4 uUI/ ml) and the free T4 was 1,78 (normal value 0,93-1,70 ng/dl). Four days later, the free T4 concentration was normal (1,45 ng/dl) with a clinical improvement of the adrenergic symptoms. Inconclusion, thyroiditis should be suspected in patients with neck trauma with compatible clinical manifestations.

show abstract

Seat Belt-Related Thyroiditis Documented with Thyroid Tc-99m Pertechnetate Scans

Cited by 12 publications

References 0 publications

Iatrogenic Thyrotoxicosis: Causal Circumstances, Pathophysiology, and Principles of Treatment—Review of the Literature

Iatrogenic Thyrotoxicosis: Causal Circumstances, Pathophysiology, and Principles of Treatment—Review of the Literature

Lesson of the Week: Thyrotoxicosis in a patient with multiple trauma: value of "AMPLE" history taking

Tiroiditis por trauma en cuello luego de intento de suicidio. Reporte de caso y revisión de la literatura

Contact Info

Product

Resources

About