Thyroid Storm with Multiple Organ Failure, Disseminated Intravascular Coagulation, and Stroke with a Normal Serum FT3 Level
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概要
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Thyroid storm is a rare disorder with a sudden onset, rapid progression and high mortality. We experienced a case of thyroid storm which had a devastating course, including multiple organ failure (MOF), severe hypoglycemia, disseminated intravascular coagulation (DIC), and stroke. It was difficult to make a diagnosis of thyroid storm in the present patient, because she did not have a history of thyroid disease and her serum FT3 level was normal. Clinicians should be aware that thyroid storm can occur even when there is an almost normal level of thyroid hormones, and that intensive anticoagulation is required for patients with atrial fibrillation to prevent stroke after thyroid storm.
著者
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Harada Yuko
Department Of Biology Faculty Of Science Kyushu University
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Handa Michiko
Department Of Internal Medicine School Of Medicine Keio University
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Ryuzaki Munekazu
Department of Internal Medicine, Kawasaki Municipal Ida Hospital, Japan
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Akiyama Hisanao
Department of Neurology, St. Marianna University School of Medicine, Japan
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Yoshimoto Tatsuji
Department of Cardiology, Kawasaki Municipal Ida Hospital, Japan
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Urao Yasuko
Department of Otorhinolaryngology, Nihon Koukan Hospital, Japan
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Harada Yuko
Department of Cardiology, Kawasaki Municipal Ida Hospital, Japan
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