Conte Jorge I, Arosemena Marilyn A, Kapoor Kunal, Dempsey Naomi G, Zaleski Megan L, Kargi Atil Y
Department of Medicine, Jackson Memorial Hospital/University of Miami, Miami, FL, USA.
Division of Endocrinology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Case Rep Endocrinol. 2018 Jan 2;2018:4190629. doi: 10.1155/2018/4190629. eCollection 2018.
Thyroid storm is the life-threatening end-organ manifestation of severe thyrotoxicosis. If left untreated, thyroid storm may cause acute heart failure, multiorgan dysfunction, and death. A high degree of suspicion is necessary to make the diagnosis and start antithyroid medications to decrease mortality. Thyroid storm is generally seen in patients with Graves' disease but should also be suspected in patients with fever, tachycardia, altered mental status, and risk factors including local trauma to the neck, such as strangulation. Based on our review, we report the first case of thyroid storm after strangulation as the presentation of previously undiagnosed Graves' disease.
甲状腺危象是严重甲状腺毒症危及生命的终末器官表现。若不治疗，甲状腺危象可能导致急性心力衰竭、多器官功能障碍及死亡。做出诊断并开始使用抗甲状腺药物以降低死亡率需要高度怀疑。甲状腺危象通常见于格雷夫斯病患者，但对于发热、心动过速、精神状态改变且有颈部局部创伤等危险因素（如勒颈）的患者也应怀疑。基于我们的综述，我们报告了首例以勒颈为表现形式的甲状腺危象，其为既往未诊断的格雷夫斯病。
