Artikel Jurnal

Thyroid Storm Post-Radioactive Iodine Therapy

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Background : Thyroid storm is an endocrine disorder emergency which has a high
morbidity and mortality rates. The incidence of thyroid storm is seen in less than 10% of
all hospitalized thyrotoxicosis patients. However, it has a high mortality rate, which
accounts to 20–30% of the cases. It is important to diagnose early to facilitate appropriate
immediate management, which can improve prognosis and clinical outcome in patients.
Thyroid storm usually begins with precipitating factor. Thyroid storm precipitated by
radioactiveiodine therapy is rare.
Case Report : We report a rare case in a 28 year old female patient. Patient came with
complaints of palpitations, nausea without vomiting, fever, >3x diarrhea, and shortness
of breath after radioactive iodine therapy. The clinical presentation of thyroid storm is
polymorphic that becomes a diagnostic problem as it can delay treatment and increase
the risk of mortality. It is important to suspect a thyroid storm based on the patient's
clinical presentation, because the diagnosis of thyroid storm is based more on the
patient's clinical presentation. The existence of the Burch-Wartofsky scoring system
facilitates the diagnosis of a thyroid storm. The total Burch-Wartofsky score in this patient
based on the clinical presentation is 45, which is highly suggestive of thyroid storm.
Conclusion : Thyroid storm precipitated by radioactive iodine therapy is rare. The
incidence of thyroid storm after administration of radioactive iodine therapy is 0.34
percent. Precipitating factors other than the administration of radioactive iodine therapy
such as infection and discontinuation of antithyroid drug therapy can trigger a thyroid
storm.
Keywords :thyroid storm, emergency, post radioactiveiodine therapy

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Availability

Detail Information

Series Title

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Call Number

616.44 Sep t

Publisher

Semarang : Medica Hospitalia., 2023

Collation

-

Language

English

ISBN/ISSN

2685-7898

Classification

616.44

Content Type

text

Media Type

other

Carrier Type

other (computer)

Edition

-

Subject(s)

Thyroid Crisis
Hyperthyroidism
Thyrotoxicosis

Specific Detail Info

6 hlm.

Statement of Responsibility

Septi Hardina

Viewer

77

Other Information

Tanggal Pelaksanaan - Dari

2024-12-30

Tanggal Pelaksanaan - Sampai

2024-12-30

Akreditasi

Tidak

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