"Thyroid Storm" Produced by Acute Thyroid Hormone Poisoning
Authors: EDWIN S. SCHOTTSTAEDT
Journal: Annals of Internal Medicine (1966)

Case Studies1 April 1966"Thyroid Storm" Produced by Acute Thyroid Hormone PoisoningEDWIN S. SCHOTTSTAEDT, M.D., MARVIN SMOLLER, M.D.EDWIN S. SCHOTTSTAEDT, M.D.Search for more papers by this author, MARVIN SMOLLER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-64-4-847 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThyrotoxicosis resulting from chronic overdose of thyroid hormone is a well-recognized, frequently reported syndrome (1, 2), but the production of a severe hyperthyroid state resembling "thyroid storm" by a massive overdose of thyroid hormone appears to be exceedingly rare. The only case in the literature of acute thyroid hormone poisoning with severe hyperthyroid symptoms was reported by Levy and Gilger (3) in 1957; a 15-month-old child ingested 3.2 gr of desiccated thyroid. In 1954 Atkinson (4) described a case of ingestion of desiccated thyroid and amphetamine and development of a moderately severe hyperthyroid state, but it was unclear how much...References1. SKANSERIGGS BNDS: Thyrotoxicosis factitia (alimentary thyrotoxicosis). Its differentiation from spontaneous thyrotoxicosis with the aid of radioactive iodine. J. Clin. Endocr. 8: 532, 1948. CrossrefGoogle Scholar2. CHAMOVITZSLEISENGERFREEDBERG DLMHAS: Thyrotoxicosis factitia. Measurement of the thyroid gland I131 uptake and serum protein-bound I131. Amer. J. Med. 11: 255, 1951. CrossrefMedlineGoogle Scholar3. LEVYGILGER RPWG: Acute thyroid poisoning. Report of a case. New Eng. J. Med. 256: 459, 1957. CrossrefMedlineGoogle Scholar4. ATKINSON JB: Factitial thyrotoxic crisis induced by dextroamphetamine sulfate and thyroid. Ann. Intern. Med. 40: 615, 1954. LinkGoogle Scholar5. GREGERMANGAFFNEYSHOCKCROWDER RIGWNWSE: Thyroxine turnover in euthyroid man with special reference to changes with age. J. Clin. Invest. 41: 2065, 1962. CrossrefMedlineGoogle Scholar6. DANOWSKISCHWARTZRHODESYODERPUNTERERIMATEER TSRGJRDAJFM: Serum protein-bound iodine levels following administration of thyroxine in various diseases. J. Clin. Endocr. 15: 1116, 1955. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: San Francisco, CaliforniaFrom the Department of Medicine, University of California School of Medicine, and the San Francisco General Hospital, San Francisco, Calif.Requests for reprints should be addressed to Marvin Smoller, M.D., Department of Medicine, University of California School of Medicine, San Francisco, Calif. 94122. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByProlonged coma resulting from massive levothyroxine overdose and the utility of N-terminal prohormone brain natriuretic peptide (NT-proBNP)Diagnosis and Management of Thyroid StormThyroid Agent ToxicityDelayed toxidromesSuccessful treatment of massive acute thyroid hormone poisoning with iopanoic acidThyroid stormLife-Threatening Thyrotoxicosis: Thyroid StormMassive Levothyroxine IngestionToxic emergencies of endocrine and metabolic therapeutic agentsMassive thyroxine intoxication: evaluation of plasma extractionDrug-Induced FeverHyperthyreosis factitia acuta — Geringe klinische Symptome bei drei Fällen unter β-Blocker-BehandlungManagement of a child with acute thyroxine ingestionRadioiodine-induced thyroid stormPlasmapheresis in Thyroxine Overdose: A Case ReportMinor Signs and Symptoms of Toxicity in a Young Woman in Spite of Massive Thyroxine IngestionTRIIODOTHYRONINE INTOXICATIONPrevention and management of hyperthyroid stormThyroid Storm 1 April 1966Volume 64, Issue 4Page: 847-849KeywordsAtrial fibrillationComaCorticosteroid therapyHospital medicineHypothermiaIngestionProteinsStormsThyroidThyroid hormones Issue Published: 1 April 1966 PDF DownloadLoading ...