Wickramasinghe R D S S, Luke W A N V, Sebastiampillai B S, Gunathilake M P M L, Premaratna R
Professorial Medical Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
Department of Clinical Pharmacology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
BMC Res Notes. 2016 Jun 23;9:320. doi: 10.1186/s13104-016-2126-z.
Thyrotoxic crisis is a medical emergency requiring early diagnosis and urgent management, which can be challenging due to its diverse clinical presentations. While common presentations include fever, sweating, palpitations, tremors and confusion, presence of jaundice is rare.
We report a 35-year-old male who presented with jaundice due to cholestasis along with other features of thyrotoxic crisis due to Graves' disease. He had a good clinical recovery with resolution of cholestasis following treatment for thyrotoxic crisis.
Jaundice can be a rare manifestation of thyrotoxic crisis, and should be considered in the differential diagnosis when other clinical features of thyrotoxic crisis are present. However secondary causes of jaundice should be looked into and excluded.
甲状腺危象是一种需要早期诊断和紧急处理的医疗急症，因其临床表现多样，诊断可能具有挑战性。常见表现包括发热、出汗、心悸、震颤和意识模糊，黄疸较为罕见。
我们报告一名35岁男性，因Graves病导致甲状腺危象，出现胆汁淤积性黄疸及其他甲状腺危象特征。经甲状腺危象治疗后，胆汁淤积消退，患者临床恢复良好。
黄疸可能是甲状腺危象的罕见表现，当存在甲状腺危象的其他临床特征时，应在鉴别诊断中予以考虑。然而，应排查并排除黄疸的继发原因。
