A Case of Thyroid Storm with Multiple Organ Failure Effectively Treated with Plasma Exchange
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概要
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We describe a 48-year-old man with thyroid storm presenting with heart failure. He presented severely impaired left ventricular wall motion and a marked increase in the liver enzymes. He developed disseminated intravascular coagulation on day 2. Due to elevated serum thyroid hormone level, anti-thyroid hormone receptor antibody positivity, and his clinical symptoms, he was diagnosed as thyroid storm due to untreated Graves disease. His condition did not improve even after 6 days of conventional therapy including steroids. After therapeutic plasma exchange was carried out, his thyroid hormone level decreased markedly. Consequently, his condition recovered gradually, and he was discharged at day 43.
著者
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Sasaki Kazuki
Department Of Molecular Pharmacology National Cerebral And Cardiovascular Center Research Institute
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Yoshida Akira
Department Of Agricultural Chemistry Nagoya University
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Nakata Yukiko
Department Of Laboratory Medicine Osaka University Graduate School Of Medicine
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Komuro Issei
Department Of Cardiovascular Medicine
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MIZOTE Isamu
Department of Advanced Cardiovascular Therapeutics, Osaka University Graduate School of Medicine
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Mizote Isamu
Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
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Sakata Yasushi
Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
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Sakata Yasushi
Department of Applied Chemistry, Faculty of Engineering, Doshisha University
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Nakata Yukiko
Department of Laboratory Medicine, Osaka University Graduate School of Medicine, Japan
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