Transient Hyperthyroidism Induced by Thyroid Ultrasound

Yatavelli, Rajini Kanth; Levine, Steven N.

doi:10.1177/0003489418781169

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…Infection [6] Vigorous palpation of thyroid gland [30] Acute medical illness Subacute thyroiditis [31] Acute psychosis [32] Thyroxine overdosage [33] Nonthyroidal surgery [18] Aspirin intoxication [34] Parturition [35] Hydatidiform mole [36] Trauma [37] OP poisoning [38] Discontinuation of antithyroid drugs [39] Neurotoxins [40] After radioactive iodine therapy [41] Cytotoxic chemotherapy [42] Post-thyroidectomy [43] After high dose of iodine administration [44] Iodinated radiographic contrast agents [45] of an exaggerated feature of hyperthyroidism accompanied by manifestations of multiorgan dysfunction, with the presence of an acute precipitating factor [46]. Symptoms, signs, and clinical features are listed in Tables 2-4 respectively.…”

Section: Common Rarementioning

confidence: 99%

Thyroid Storm: Clinical Manifestation, Pathophysiology, and Treatment

Pandey¹,

Kumar²,

Kotwal³

2020

Goiter - Causes and Treatment

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Thyroid storm is a rare but life-threatening endocrine emergency. It is an acute exaggerated clinical manifestation of thyrotoxic state. The exact incidence is unknown. It occurs in 1-2% of patients admitted for thyrotoxicosis. It has a mortality of 10-20%. This chapter would help us to understand its clinical manifestations, pathophysiology, and effective treatment. Terminal learning objective would be to diagnose impending storm early and start prompt treatment in day-today practice. The chapter would cover pathophysiology including triggers, clinical features including various diagnostic criteria, diagnosis, and treatment of thyroid storm. Indications of surgical treatment in storm will be discussed.

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Section: Common Rarementioning

confidence: 99%

Thyroid Storm: Clinical Manifestation, Pathophysiology, and Treatment

Pandey¹,

Kumar²,

Kotwal³

2020

Goiter - Causes and Treatment

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“…However, thyroid storm induced by thyroid injury after blunt trauma to the neck is a rare finding [ 6 , 7 ]. This clinical entity has been described following attempted suicide by hanging [ 8 , 9 ], a severe neck trauma [ 6 , 10 ], and thyroid ultrasonography [ 11 , 12 ]. A great majority of patients described so far were adults, of whom the majority experienced severe hyperthyroid symptomatology and were known with pre-existent thyroid disease [ 6 , 7 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

An Adolescent with Transient Hyperthyroxinemia after Blunt Trauma to Head and Neck

Romijn

Geeraedts

Verbeke

et al. 2021

Case Reports in Endocrinology

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Background. Thyroid storm is a well-known complication of surgical procedures in the lower neck, but is rare after a blunt neck trauma. The cases described previously have mainly focussed on adults with pre-existent thyroid disease. In this case report, we describe the disease course of a previously healthy adolescent who had asymptomatic hyperthyroxinemia after a blunt trauma of the jaw and neck. Case Presentation. A 17-year-old girl presented at our emergency department after she fell on her head while roller blading. On physical examination, among other injuries, she had a swelling in the lower neck, which appeared to involve the thyroid gland. Subsequent laboratory analysis was indicative of primary hyperthyroxinemia, with a free T4 of 59 pmol/L (reference range: 12–22) and a TSH of 0.46 mU/L (reference range: 0.5–4.3), but the patient had no symptoms fitting with this. Four weeks after the initial presentation, the patient reported only complaints regarding tenderness in the jaw and neck region. She was no longer hyperthyroidic on biochemical evaluation (with a free T4 level of 15.6 pmol/L and a TSH level of 0.33 mU/L), and antibodies against thyroid peroxidase or TSH receptor were not present. Conclusions. This case might indicate that hyperthyroxinemia following a neck trauma may go unnoticed if hyperthyroid symptoms are mild or absent and thyroid function tests are not performed.

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Transient Hyperthyroidism Induced by Thyroid Ultrasound

Abstract: We believe this is the first report of a euthyroid individual who developed hyperthyroidism caused by thyroid ultrasonography. We hypothesize that pressure from the ultrasound probe during the examination compressed her large nodules, releasing stored hormone.

Cited by 2 publications

References 19 publications

Thyroid Storm: Clinical Manifestation, Pathophysiology, and Treatment

Thyroid Storm: Clinical Manifestation, Pathophysiology, and Treatment

An Adolescent with Transient Hyperthyroxinemia after Blunt Trauma to Head and Neck

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