Year 2014,
Volume: 4 Issue: 1, 85 - 87, 07.08.2014
Abstract
Tiroid krizi, nadir görülen ölümcül olabilen bir klinik tablodur. Otuzüç yaşında kadın hasta, hasta- nemize ateş yüksekliği ve bilinç bulanıklığı şikâyetleriyle kabul edildi. Kan tablosunda TSH düşük- lüğü, T3 ve T4 yüksekliği mevcuttu. Fizik muayenede ateş (38,4 °C), taşikardi (130 atım/dk), boyun bölgesinde tiroid bezinde büyüme (+++) ve palpasyonda nodül, akciğerde dinlemekle bilateral ral ve ronküs saptandı. Burch ve Wartofsky skorlamasına göre hastaya tiroid krizi tanısı kondu ve hasta yoğun bakıma yatırıldı. Antitiroid, beta bloker, antibiyotik ve hidrasyon tedavisi başlandı. Birinci haftanın sonunda şuuru ve genel durumu düzelen hasta, antitiroid tedavi ile taburcu edildi.
Keywords
References
- Burch HB, Wartofsky L. Life-threatening thyrotoxicosis. Thyroid storm. Endocrinol Metab Clin North Am. 1993; 22(2): 263-77.
- Karger S, Fuhrer D. Thyroid storm-thyrotoxic crisis: an update. Deutsch Med Wochenschr. 2008;133(6): 479-4.
- Akamizu T, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic criteria, clinical features, and incidence of thyroid storm based on nationwide surveys. Thyroid. 2012; 22(7): 661-79.
- Feldt-Rasmussen U, Emerson CH. Further thoughts on the diagnosis and diagnostic criteria for thyroidstorm. Thyroid. 2012; 22(11): 1094-5.
- Wartofsky L. Clinical criteria for the diagnosis of thyroidstorm. Thyroid. 2012; 22(7): 659-60.
- Wald DA, Silver A. Cardiovascular manifestations of thyroidstorm. J Emerg Med. 2003; 25(1): 23-8.
- Akamizu T, Akamizu T1, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic criteria and clinico- epidemiological features of thyroid storm based on a nationwide survey. Thyroid. 2012;3(1):69-73.
- Sarlis NJ, Gourgiotis L. Thyroid emergencies. Rev Endocr Metab Disord. 2003; 4(2): 129-36.
- Jiang YZ, Hutchinson KA, Bartelloni P, Manthous CA. Thyroid storm presenting as multiple organ dysfunction syndrome. Chest. 2000; 118(3): 877-9.
- Ringel MD. Management of hypothyroidism and hyperthyroidism in the intensive care unit. Crit Care Clin. 2001; 17(1): 59-74.
- Wald DA, Silver A. Cardiovascular manifestations of thyroid storm: a case report. J Emerg Med. 2003; 25(1): 23-8.
Year 2014,
Volume: 4 Issue: 1, 85 - 87, 07.08.2014
Abstract
References
- Burch HB, Wartofsky L. Life-threatening thyrotoxicosis. Thyroid storm. Endocrinol Metab Clin North Am. 1993; 22(2): 263-77.
- Karger S, Fuhrer D. Thyroid storm-thyrotoxic crisis: an update. Deutsch Med Wochenschr. 2008;133(6): 479-4.
- Akamizu T, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic criteria, clinical features, and incidence of thyroid storm based on nationwide surveys. Thyroid. 2012; 22(7): 661-79.
- Feldt-Rasmussen U, Emerson CH. Further thoughts on the diagnosis and diagnostic criteria for thyroidstorm. Thyroid. 2012; 22(11): 1094-5.
- Wartofsky L. Clinical criteria for the diagnosis of thyroidstorm. Thyroid. 2012; 22(7): 659-60.
- Wald DA, Silver A. Cardiovascular manifestations of thyroidstorm. J Emerg Med. 2003; 25(1): 23-8.
- Akamizu T, Akamizu T1, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic criteria and clinico- epidemiological features of thyroid storm based on a nationwide survey. Thyroid. 2012;3(1):69-73.
- Sarlis NJ, Gourgiotis L. Thyroid emergencies. Rev Endocr Metab Disord. 2003; 4(2): 129-36.
- Jiang YZ, Hutchinson KA, Bartelloni P, Manthous CA. Thyroid storm presenting as multiple organ dysfunction syndrome. Chest. 2000; 118(3): 877-9.
- Ringel MD. Management of hypothyroidism and hyperthyroidism in the intensive care unit. Crit Care Clin. 2001; 17(1): 59-74.
- Wald DA, Silver A. Cardiovascular manifestations of thyroid storm: a case report. J Emerg Med. 2003; 25(1): 23-8.
There are 11 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 7, 2014 |
| Published in Issue | Year 2014 Volume: 4 Issue: 1 |
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