Journal of Islamabad Medical & Dental College
Thyroid Storm; A Rare Manifestation of Thyrotoxicosis, A Case Report
By Qurat Ul Ain, Asma Khalid and Rafia Rasheed.
Abstract
Thyroid storm is a life-threatening endocrine emergency resulting from hyperthyroidism, characterized bywidespread multisystem involvement. We present the case of a middle-aged female who presented with fever,diarrhea, and vomiting. She gave a history of weight loss and palpitations for the past year. On examination, sheappeared restless and dehydrated. Notable findings included resting tremors, tachycardia, and a wide pulsepressure. Based on clinical evaluation and confirmed by thyroid function tests (TFTs), she was diagnosed with athyroid storm precipitated by acute gastroenteritis. She had a rapid improvement after the start of treatmentconsisting of IV fluids, beta-blockers, antithyroid drugs, and steroids. This case demonstrates that prompt clinicalinsight can be crucial for saving lives in rare endocrine emergencies such as thyroid storms.Keywords: Acute Liver Dysfunction, Case Report, Graves' Disease, Portal Hypertension.






