Publication: Low cardiac output thyroid storm in a girl with Graves’ disease
Issued Date
2016-10-01
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ISSN
1442200X
13288067
13288067
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2-s2.0-84994137724
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Mahidol University
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SCOPUS
Bibliographic Citation
Pediatrics International. Vol.58, No.10 (2016), 1080-1083
Suggested Citation
Marut Chantra, Alisa Limsuwan, Pat Mahachoklertwattana Low cardiac output thyroid storm in a girl with Graves’ disease. Pediatrics International. Vol.58, No.10 (2016), 1080-1083. doi:10.1111/ped.13102 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/41053
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Title
Low cardiac output thyroid storm in a girl with Graves’ disease
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Abstract
© 2016 Japan Pediatric Society A 15-year-old girl with Graves’ disease presented with hypotension after methimazole and propranolol were re-started for hyperthyroidism. She was found to have pulmonary artery hypertension resulting in obstructive shock. Thyroid storm was diagnosed according to Burch and Wartofsky score. She was promptly treated with anti-thyroid drugs, inorganic iodide, corticosteroid, and respiratory support. Pulmonary hypertension was treated with inhaled nitric oxide until the clinical status improved. Propranolol was withdrawn due to poor cardiac function. We herein present a unique case of a difficult-to-treat Graves’ disease presenting with severe pulmonary hypertension resulting in low cardiac output thyroid storm.