162 383

Cited 22 times in

A Case of Thyroid Storm Due to Thyrotoxicosis Factitia

Authors
 Soo Jee Yoon  ;  Dol Mi Kim  ;  Kap Bum Huh  ;  Hyun Chul Lee  ;  Kyung Rae Kim  ;  Sung Kil Lim  ;  Bong Soo Cha  ;  Chul Woo Ahn  ;  Kyung Wook Kim  ;  Jun Uh Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.44(2) : 351-354, 2003 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2003
MeSH
Adolescent ; Factitious Disorders/complications* ; Female ; Humans ; Thyroid Crisis/etiology* ; Thyroid Hormones/poisoning* ; Thyrotoxicosis/complications*
Keywords
Thyroid storm ; thyrotoxicosis factitia ; ingestion of excessive thyroid hormone
Abstract
We describe a case of thyroid storm due to thyrotoxicosis factitia, which was caused by the ingestion of excessive quantities of exogenous thyroid hormone for the purpose of reducing weight. An 18-year-old female was admitted to the hospital 24 hours after taking up to 50 tablets of synthyroid (1 tablet of synthyroid : levothyroxine 100 µg). Because of her stuporous mental state and acute respiratory failure, she was intubated and treated in the intensive care unit. After reviewing her history carefully and examining plasma thyroid hormone levels, we diagnosed this case as a thyroid storm due to thyrotoxicosis factitia. Her thyroid function test revealed that T3 was 305 ng/dL, T4 was 24.9 µg/dl, FT4 was 7.7 ng/dL, TSH was 0.05 µIU/mL and TBG was 12.84 µg/mL (normal range: 11.3 - 28.9). TSH receptor antibody, antimicrosomal antibody, and antithyroglobulin antibody were negative. She was recovered by treatment, namely, steroid and propranolol, and was discharged 8 days after admission. Thyroid storm due to thyrotoxicosis factitia caused by the ingestion of excessive thyroid hormone is rarely reported worldwide. Therefore, we now report a case of thyroid storm that resulted from thyrotoxicosis factitia caused by the ingestion of a massive amount of thyroid hormone over a period of 6 months.
Files in This Item:
T200305592.pdf Download
DOI
10.3349/ymj.2003.44.2.351
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Chul Woo(안철우) ORCID logo https://orcid.org/0000-0003-3733-7486
Cha, Bong Soo(차봉수) ORCID logo https://orcid.org/0000-0003-0542-2854
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114148
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links