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Severe Hypoglycemia Accompanied with Thyroid Crisis

We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest...

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Detalles Bibliográficos
Autores principales: Nakatani, Yuki, Monden, Tsuyoshi, Sato, Minoru, Domeki, Nozomi, Matsumura, Mihoko, Banba, Nobuyuki, Nakamoto, Takaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3502800/
https://www.ncbi.nlm.nih.gov/pubmed/23198181
http://dx.doi.org/10.1155/2012/168565
Descripción
Sumario:We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest occurred. She was then transferred to the intensive care unit. Her serum glucose level was 7 mg/dl. Intravenous glucose, hydrocortisone, diuretics, and continuous hemodiafiltration (CHDF) saved her. We considered that hypoglycemia occurred due to heart failure and liver dysfunction due to thyroid crisis.