Department of Diabetes and Endocrinology, National Hospital Organization, Kagoshima Medical Center, Japan.
Department of Diabetes and Endocrine Medicine, National Hospital Organization Kagoshima Medical Center, Japan.
Intern Med. 2023 Nov 15;62(22):3373-3379. doi: 10.2169/internalmedicine.1496-22. Epub 2023 Apr 7.
Thyroid storm is a life-threatening clinical condition that is usually triggered by untreated or interrupted treatment of Graves' disease, leading to the sudden onset of severe thyrotoxicosis, which requires an immediate diagnosis and treatment based on diagnostic criteria. Cases of thyroid storm caused by painless/painless subacute thyroiditis are very rare. We herein report an 85-year-old man with features of severe thyrotoxicosis caused by painless/painless subacute thyroiditis who had no uptake of TcO and was negative for thyroid-stimulating hormone receptor antibodies. In thyroid storm patients in whom the findings are inconsistent with Graves' disease, careful follow-up and management are necessary, assuming the possibility of painless or painless subacute thyroiditis.
甲状腺危象是一种危及生命的临床情况，通常由未经治疗或中断治疗的格雷夫斯病引起，导致严重甲状腺毒症突然发作，需要根据诊断标准立即诊断和治疗。由无痛性/亚急性甲状腺炎引起的甲状腺危象病例非常罕见。本文报告了一例 85 岁男性，因无痛性/亚急性甲状腺炎引起严重甲状腺毒症，TcO 摄取率降低，甲状腺刺激素受体抗体阴性。在甲状腺危象患者中，如果发现与格雷夫斯病不一致，需要仔细随访和管理，假设存在无痛性或无痛性亚急性甲状腺炎的可能性。
