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2018 ; 6
(ä): 2324709618777014
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Thyroid Storm Presenting as Psychosis
#MMPMID29796397
Desai D
; Zahedpour Anaraki S
; Reddy N
; Epstein E
; Tabatabaie V
J Investig Med High Impact Case Rep
2018[Jan]; 6
(ä): 2324709618777014
PMID29796397
show ga
Thyroid storm is a life-threatening endocrine emergency with an incidence rate of
1% to 2%. It is a systemic condition of excessive thyroid hormone production and
release leading to thermoregulatory, adrenergic, neuropsychiatric,
cardiovascular, and abdominal manifestations. Although it is a rare condition, it
carries a significant mortality rate. Hence, knowing the common and uncommon
presentations of thyroid storm is important for its prompt diagnosis and
treatment. In this article, we present an unusual case of a young woman who
presented with psychosis as the manifesting symptom of thyroid storm. She did not
respond adequately to conventional medical treatment, requiring plasmapheresis
and a definitive thyroidectomy, which ultimately led to the return of patient's
baseline mental status and a dramatic recovery.