Amin Tasnuva, Austin Christopher P, Udongwo Ndausung, Wiseman Kyle, Parhar Amardeep S, Chaughtai Saira
Internal Medicine, Jersey Shore University Medical Center, Neptune, USA.
Internal Medicine, St. George's University School of Medicine, True Blue, GRD.
Cureus. 2022 Aug 14;14(8):e28001. doi: 10.7759/cureus.28001. eCollection 2022 Aug.
A thyroid storm is a rare but life-threatening condition caused by the exaggeration of the clinical manifestations of thyrotoxicosis. The symptoms of thyroid storms are non-specific in nature, making the Burch Wartofsky Point Scale (BWPS) a valuable resource in the diagnosis of thyroid storms. Though not part of the BWPS scoring criteria, literature reviews have shown an increasing number of reports of pericardial effusion secondary to thyrotoxicosis. Pericardial effusion is a well-known sequela of hypothyroidism that, in severe cases, can cause cardiac tamponade. With increasing reports, clinicians should be aware that pericardial effusions can develop secondary to both underactive and overactive thyroid states. We present a case of iodine contrast-induced Jod-Basedow in a 29-year-old with a prior history of Graves disease with concomitant pericardial effusion requiring thyroidectomy.
甲状腺危象是一种罕见但危及生命的疾病，由甲状腺毒症临床表现的加剧引起。甲状腺危象的症状本质上不具有特异性，这使得伯奇-沃托夫斯基评分量表（BWPS）成为诊断甲状腺危象的宝贵资源。尽管心包积液并非BWPS评分标准的一部分，但文献综述显示，继发于甲状腺毒症的心包积液报告数量不断增加。心包积液是甲状腺功能减退症的一种众所周知的后遗症，在严重情况下可导致心脏压塞。随着报告的增加，临床医生应意识到，甲状腺功能减退和亢进状态均可继发心包积液。我们报告一例29岁既往有格雷夫斯病病史的患者，因碘造影剂诱发碘致甲亢，并伴有心包积液，需要进行甲状腺切除术。
