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Published on: January 26, 2024
Severe hypoglycemia accompanied with thyroid crisis
Yuki Nakatani1, Tsuyoshi Monden, Minoru Sato
1Department of Endocrinology and Metabolism, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan ; Department of Diabetes & Endocrinology, Dokkyo Medical University Nikko Medical Center, 632 Takatoku, Nikko-shi, Tochigi 321-2593, Japan.
Abstract:
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.
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