Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange

Thyroid crisis is a life-threatening form of thyrotoxicosis characterized by multi-system dysfunction. Therapeutic plasma exchange has been reported to be effective in removing excessive circulating thyroid hormones. We present a 46-year-old female with recently diagnosed Graves’ disease associated...

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Detalles Bibliográficos
Autores principales: Cheah, Jean Mun, Ng, Danish, Low, Ming Yoong, Foo, Siew Hui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the ASEAN Federation of Endocrine Societies 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7784112/
https://www.ncbi.nlm.nih.gov/pubmed/33442157
http://dx.doi.org/10.15605/jafes.034.02.12
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author Cheah, Jean Mun
Ng, Danish
Low, Ming Yoong
Foo, Siew Hui
author_facet Cheah, Jean Mun
Ng, Danish
Low, Ming Yoong
Foo, Siew Hui
author_sort Cheah, Jean Mun
collection PubMed
description Thyroid crisis is a life-threatening form of thyrotoxicosis characterized by multi-system dysfunction. Therapeutic plasma exchange has been reported to be effective in removing excessive circulating thyroid hormones. We present a 46-year-old female with recently diagnosed Graves’ disease associated with thyrotoxic cardiomyopathy admitted for thyroid crisis complicated by propranolol-induced circulatory collapse, acute kidney injury and ischemic hepatitis. The tachyarrhythmia was refractory to conventional therapy. Initiation of TPE resulted in rapid clinical and biochemical stabilization.
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spelling pubmed-77841122021-01-12 Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange Cheah, Jean Mun Ng, Danish Low, Ming Yoong Foo, Siew Hui J ASEAN Fed Endocr Soc Case Report Thyroid crisis is a life-threatening form of thyrotoxicosis characterized by multi-system dysfunction. Therapeutic plasma exchange has been reported to be effective in removing excessive circulating thyroid hormones. We present a 46-year-old female with recently diagnosed Graves’ disease associated with thyrotoxic cardiomyopathy admitted for thyroid crisis complicated by propranolol-induced circulatory collapse, acute kidney injury and ischemic hepatitis. The tachyarrhythmia was refractory to conventional therapy. Initiation of TPE resulted in rapid clinical and biochemical stabilization. Journal of the ASEAN Federation of Endocrine Societies 2019-11-09 2019 /pmc/articles/PMC7784112/ /pubmed/33442157 http://dx.doi.org/10.15605/jafes.034.02.12 Text en © 2019 Journal of the ASEAN Federation of Endocrine Societies https://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International.
spellingShingle Case Report
Cheah, Jean Mun
Ng, Danish
Low, Ming Yoong
Foo, Siew Hui
Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange
title Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange
title_full Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange
title_fullStr Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange
title_full_unstemmed Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange
title_short Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange
title_sort weathering the crisis: a case of thyroid crisis with propranolol-induced circulatory collapse successfully treated with therapeutic plasma exchange
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7784112/
https://www.ncbi.nlm.nih.gov/pubmed/33442157
http://dx.doi.org/10.15605/jafes.034.02.12
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