Abstract

BOLANOS-RODRIGUEZ, Hernán; ALVARADO-VEGA, Ademir  and  SALAS-SEGURA, Donato. Plasma separation in the management of the thyroid storm: report of a case. Acta méd. costarric [online]. 2016, vol.58, n.1, pp.41-43.  Epub Mar 01, 2016. ISSN 0001-6002.

Considered as the most severe form of hyperthyroidism, thyroid storm is a clinical condition in which the severe state of thyrotoxicosis can lead to important hemodynamic repercussions that can be life threatening. We report a case of a 41-year-old male patient known to have Graves Disease with an irregular medical control that presents to the emergency department complaining of atypical chest pain, associating the presence of cardiac arrhythmia due to atrial fibrillation, with evident bilateral exophthalmos, severe muscular atrophy and a grade II goiter. His condition worsens to a severe heart failure and afterwards to use of vasopressors and endotracheal intubation. Given the need to reduce rapidly the free fraction of the thyroid hormones, in association with antithyroid medications, the decision was to start therapy with plasma separation.

Keywords : Thyroid storm; blood component removal; thyrotoxicosis; Graves disease..

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