MEDICAL THYROID STORM: A PSYCHOSOMATIC STUDY
Authors: K L WHITE, W N CHAMBERS
Journal: Annals of Internal Medicine (1953)

Case Reports1 March 1953MEDICAL THYROID STORM: A PSYCHOSOMATIC STUDYK. LACHLAN WHITE, M.D., W. N. CHAMBERS, M.D., F.A.C.P.K. LACHLAN WHITE, M.D.Search for more papers by this author, W. N. CHAMBERS, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-38-3-586 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThere are few more dramatic or challenging medical emergencies than thyroid storm. Its sudden development in the nonsurgical thyrotoxic patient is rightfully regarded as an ominous sign, and all therapeutic efforts are overshadowed by the knowledge that the outcome is usually fatal. Little is known about this emotional and endocrine tempest, and opportunities for observing it in medical patients are rare. Among 2,033 thyrotoxic patients seen over a 25 year period at the Massachusetts General Hospital, McArthur1 reported 11 medical patients with storm, eight of whom died. Bayley2 and Lahey3 report similar figures.The psychodynamics and physiopathology of this condition...Bibliography1. McArthurRawsonMeansCope JWRWJHO: Thyrotoxic crisis, J. A. M. A. 134: 868, 1947. CrossrefMedlineGoogle Scholar2. Bayley RH: Thyroid crisis, Surg., Gynec. and Obst. 59: 41, 1934. Google Scholar3. Lahey FH: The crisis of exophthalmic goiter, New England J. Med. 199: 255, 1928. CrossrefGoogle Scholar4. GreeneGreene EIJM: Thyroid crisis, Ann. Surg. 95: 537, 1932. CrossrefMedlineGoogle Scholar5. MartinFisher LRA: Genetic factor in thyrotoxicosis; single recessive gene favourable to development of primary thyrotoxicosis, Quart. J. Med. 14: 207, 1945. MedlineGoogle Scholar6. Warthin AS: The constitutional entity of exophthalmic goiter and so-called toxic adenoma, Ann. Int. Med. 2: 513, 1928. Google Scholar7. 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CrossrefMedlineGoogle Scholar31. Lidz T: Personal communication. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Hanover, New Hampshire*Received for publication March 5, 1952.From the Department of Medicine, Dartmouth Medical School, Mary Hitchcock Memorial Hospital, Hanover, New Hampshire and the Veterans Hospital, White River Junction, Vermont.†Now at Royal Victoria Hospital, McGill University, Montreal, Canada. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Medical Thyroid Crisis 1 March 1953Volume 38, Issue 3Page: 586-595KeywordsEmotionsHospital medicineRiversStormsThyroid ePublished: 1 December 2008 Issue Published: 1 March 1953 PDF downloadLoading ...