Swinburne Joanna L, Kreisman Stuart H
Division of Endocrinology, St. Paul,s Hospital, University of British Columbia,Vancouver, British Columbia, Canada.
Thyroid. 2007 Jan;17(1):73-6. doi: 10.1089/thy.2006.0140.
Thyroid storm is a rare but potentially fatal condition that is most frequently associated with Graves' disease. We present the case of a young woman who presented in thyroid storm, later diagnosed as being due to severe subacute thyroiditis. We discuss the diagnostic approach to thyroid storm, the initial management, and eventual treatment and course of subacute thyroiditis. This case illustrates the necessity to include subacute thyroiditis in the differential diagnosis of severe thyrotoxicosis and thyroid storm.
甲状腺危象是一种罕见但可能致命的病症,最常与格雷夫斯病相关。我们报告一例年轻女性患者,该患者以甲状腺危象就诊,后来被诊断为严重亚急性甲状腺炎所致。我们讨论了甲状腺危象的诊断方法、初始处理以及亚急性甲状腺炎的最终治疗和病程。该病例说明了在严重甲状腺毒症和甲状腺危象的鉴别诊断中纳入亚急性甲状腺炎的必要性。