Emotional Stress-Induced Thyroid Storm

Salem Al Ghaiti, Mazin Al-rudaini, Abdulrahman Alyamani, Ali Alreesi
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Abstract

Thyroid storm is an endocrine emergency with high mortality due to severe uncontrolled thyrotoxicosis, often associated with precipitating factors. The chance of survival will increase with early suspicion, prompt diagnosis, and immediate treatment. In this case report, we are presenting a 49-year-old female who came to the emergency department with acute pulmonary edema, agitation, severe tachycardia, high-grade fever with uncontrolled thyrotoxicosis. A diagnosis of thyroid storm was made. The patient presentation was following severe emotional stress after the passing of her mother-in-law. In the literature review, only a few cases reported as emotional stress induced thyroid storm, and we would like to present this life-threatening endocrine emergency.
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情绪压力引发的甲状腺风暴
甲状腺风暴是一种内分泌急症,由于严重的甲状腺毒症得不到控制,通常与诱发因素有关,因此死亡率很高。早期怀疑、及时诊断和立即治疗可增加存活几率。在本病例报告中,我们介绍了一名因急性肺水肿、躁动不安、严重心动过速、高热并伴有未控制的甲亢而到急诊科就诊的 49 岁女性患者。诊断结果为甲状腺风暴。患者是在婆婆去世后出现严重的情绪紧张。在文献综述中,只有少数病例报告为情绪压力诱发甲状腺风暴,我们希望介绍这种危及生命的内分泌急症。
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