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2017 ; 6
(5
): 546-551
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Predictive features associated with thyrotoxic storm and management
#MMPMID29142847
Bacuzzi A
; Dionigi G
; Guzzetti L
; De Martino AI
; Severgnini P
; Cuffari S
Gland Surg
2017[Oct]; 6
(5
): 546-551
PMID29142847
show ga
Thyroid storm (TS) is an endocrine emergency characterized by rapid
deterioration, associated with high mortality rate therefore rapid diagnosis and
emergent treatment is mandatory. In the past, thyroid surgery was the most common
cause of TS, but recent preoperative medication creates a euthyroid state before
performing surgery. An active approach during perioperative period could
determine an effective clinical treatment of this life-threating diseases.
Recently, the Japan Thyroid Association and Japan Endocrine Society developed
diagnostic criteria for TS focusing on premature and prompt diagnosis avoiding
inopportune e useless drugs. This review analyses predictive features associated
with thyrotoxic storm highlighting recent literature to optimize the patient
quality of care.