Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
A Case of Thyroid Storm with Multiple Organ Failure Effectively Treated with Plasma Exchange
Kazuki SasakiAkira YoshidaYukiko NakataIsamu MizoteYasushi SakataIssei Komuro
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JOURNALS OPEN ACCESS

2011 Volume 50 Issue 22 Pages 2801-2805

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Abstract

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.

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© 2011 by The Japanese Society of Internal Medicine
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