Thyroid Storm Masked by Hemodialysis and Glucocorticoid Therapy in a Patient with Rheumatoid Arthritis

Sasaki, Yohei; Shimizu, Yoshio; Nakata, Jun; Kameda, Toshiaki; Muto, Masahiro; Ohsawa, Isao; Io, Hiroaki; Hamada, Chikuma; Horikoshi, Satoshi; Tomino, Yasuhiko

doi:10.1159/000336624

Cited by 3 publications

(1 citation statement)

References 16 publications

(25 reference statements)

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“…Bunların dışında, kas protein yıkımına neden olan travmalar veya kosta kırıkları-na yol açan göğüs kafesi travması, pürülan artrit gibi enfektif olgularda, kalça osteokondromatozisinde, artroskopik sinovektomi gibi çeşitli ortopedik cerrahi operasyonlar esnasında veya sonrasında tiroit fırtına-sı gözlemlenebilmektedir (7)(8)(9)(10)(11)(12)(13)(14) .…”

Section: Introductionunclassified

What should an orthopaedic surgeon do to not encounter thyroid storm?

Bilir¹,

Isyar²,

Tonbul³

et al. 2016

Okmeydani Medical Journal

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Amaç: Non iyonik kontrast maddeler gibi iyot içeren pre- Jan. 2015, were searched for comparative experimental studies using the terms: "or", "and". Online literature searches were conducted using the keywords "thyrotoxicosis", "thyroidstorm", "radioactive iodine treatment", and "orthopaedic surgery " in combinations. Results:In the obtained articles two were related with the study criteria. Conclusion:In the thyroid storm during the discharge stage if there is no contraindication, cases using propylthiouracyl must switch to methimazole which is less hepatotoxic.

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Section: Introductionunclassified

What should an orthopaedic surgeon do to not encounter thyroid storm?

Bilir¹,

Isyar²,

Tonbul³

et al. 2016

Okmeydani Medical Journal

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Bidirectional Interaction of Thyroid-Kidney Organs in Disease States

Amiri

2020

International Journal of Nephrology

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Purpose. Thyroid hormones play an important role in growth, development, and physiology of the kidney. The kidney plays a key role in the metabolism, degradation, and excretion of thyroid hormones and its metabolites. The aim of this study is to investigate the prevalence of disease states of thyroid-kidney organs and detecting the correlation between thyroid and kidney function abnormalities. Materials and Methods. In this retrospective study, a total of forty-five patients with thyroid and kidney dysfunction were investigated. Clinical features, laboratory data at initial presentation, management, and outcomes were collected. The paper has been written based on searching PubMed and Google Scholar to identify potentially relevant articles or abstracts. Median, percentage, mean ± standard deviation (SD), and the two-tailed t-test were used for statistical analyses. The correlation between variables was assessed by Pearson’s, Spearman’s correlation tests and regression analyses. Results. The mean ± SD of age of study patients was 48.2 ± 22.93 years (ranging from 1 to 90 years). There was no correlation between serum thyroid-stimulating hormone, free thyroxine levels with estimated glomerular filtration rate, and proteinuria. No association between antimicrosomal antibodies with estimated glomerular filtration rate was seen. Cardiovascular disease was the most common complication of overt hypothyroidism in kidney dysfunction patients. Conclusion. The present study showed more prevalence of primary hypothyroidism in comparison with other thyroid dysfunctions in patients with kidney dysfunction. Reduced mean values of thyroid function profiles after treatment suggest that this thyroid disease should be considered and ameliorated with thyroid hormone replacement therapy in patients with kidney disease.

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Data Analysis and Systematic Scoping Review on the Pathogenesis and Modalities of Treatment of Thyroid Storm Complicated with Myocardial Involvement and Shock

Elmenyar,

Aoun,

Al Saadi

et al. 2023

Diagnostics

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Thyroid storm (TS) is a rare and fatal endocrine emergency that occurs due to undiagnosed and inadequately treated hyperthyroidism after stressful conditions in patients with thyroid disorders. The objective of this systematic scoping review was to better understand the pathophysiology of TS and its complications, in terms of myocardial affection, tachyarrhythmia, and cardiogenic shock. In addition, we explored the pharmacological, mechanical, and surgical treatments for TS. We also evaluated the outcomes of TS according to sex and cardiac involvement. Additionally, analytical analysis was performed on the selected data. A literature review of peer-reviewed journals was carried out thoroughly using medical terms, MeSH on PubMed, Google Scholar, and combinations such as thyrotoxicosis-induced cardiomyopathy, thyroid storm, cardiogenic shock, myocardial infarction, endocrine emergency, Burch–Wartofsky score, extracorporeal circulatory support, and thyroidectomy. A total of 231 papers were eligible (2 retrospective studies, 5 case series, and 224 case reports) with a total of 256 TS patients with cardiac involvement between April 2003 and August 2023. All age groups, sexes, patients with TS-induced cardiomyopathy, non-atherosclerotic myocardial infarction, tachyarrhythmia, heart failure, shock, and different forms of treatment were discussed. Non-English language articles, cases without cardiac involvement, and cases in which treatment modalities were not specified were excluded. Female sex was predominant, with 154 female and 102 male patients. Approximately 82% of patients received beta-blockers (BBs), 16.3% were placed on extracorporeal membrane oxygenation (ECMO) support, 16.3% received therapeutic plasma exchange (TPE), and 13.8% underwent continuous renal replacement therapy (CRRT), continuous venovenous hemofiltration (CVVHD), or dialysis. Overall, 18 females and 16 males died. BB-induced circulatory collapse, acute renal failure, CRRT, and ventricular fibrillation were significantly associated with mortality. Awareness of TS and not only thyrotoxicosis is vital for timely and appropriate treatment. The early diagnosis and management of TS in cardiac settings, including pharmacological, mechanical, and surgical modalities, can save high-risk patients. Sex matters in the presentation, treatment, and mortality of this population. However, further large-scale, and well-designed studies are required.

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Thyroid Storm Masked by Hemodialysis and Glucocorticoid Therapy in a Patient with Rheumatoid Arthritis

Cited by 3 publications

References 16 publications

What should an orthopaedic surgeon do to not encounter thyroid storm?

What should an orthopaedic surgeon do to not encounter thyroid storm?

Bidirectional Interaction of Thyroid-Kidney Organs in Disease States

Data Analysis and Systematic Scoping Review on the Pathogenesis and Modalities of Treatment of Thyroid Storm Complicated with Myocardial Involvement and Shock

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