Thyroid Storm and Its Management

THYROID storm is a syndrome characterized by exaggerated thyrotoxic manifestation, fever, and prominent symptoms of the cardiovascular, the gastrointestinal, and the central nervous systems. The clinical presentation is extremely variable. Its severity varies from a febrile reaction after a subtotal thyroidectomy to hypotension, coma and ultimately, death.1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Fever and jaundice are useful clues to the presence of thyroid storm, but laboratory studies cannot differentiate it from the garden variety of hyperthyroidism.Currently, in the United States, nearly all hyperthyroid patients are treated with antithyroid drugs or a combination of antithyroid drugs and iodine for some weeks before thyroidectomy or radioactive . . .