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Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

8.8K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
8.8K
The Thyroid Gland01:23

The Thyroid Gland

8.5K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
8.5K
Functions of Thyroid Hormones01:18

Functions of Thyroid Hormones

6.4K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
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Major Hormones and Their Functions01:27

Major Hormones and Their Functions

2.7K
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
2.7K
Increased Body Temperature01:25

Increased Body Temperature

7.6K
A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
7.6K
Increased pulse rate01:17

Increased pulse rate

1.4K
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
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Related Experiment Video

Updated: Mar 22, 2026

Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
05:41

Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis

Published on: February 9, 2024

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A rare case of thyroid storm.

Brock McMillen1, Manvinder Shelley Dhillon1, Sabrina Yong-Yow1

  • 1Department of Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.

BMJ Case Reports
|April 20, 2016
PubMed
Summary

Thyroid storm, a severe thyroid hormone excess, can be triggered by immunotherapy. Early recognition and treatment with beta-blockers, antithyroid drugs, and steroids are crucial for patient recovery.

Area of Science:

  • Endocrinology
  • Oncology
  • Immunology

Background:

  • Thyroid storm is a critical condition of excessive thyroid hormone, often linked to Graves' disease or toxic goiters.
  • Prompt diagnosis and management are vital to reduce mortality and morbidity associated with thyroid storm.
  • Common symptoms include unexplained weight loss, hyperactivity, and irritability.

Observation:

  • A rare case of thyroid storm was observed in a patient undergoing treatment for advanced melanoma.
  • The thyroid storm was induced by dual nivolumab and ipilimumab immunotherapy.
  • The patient presented with thyroid storm one month after commencing immunotherapy.

Findings:

  • Treatment involved beta-blockers, antithyroid medications, and systemic steroids.

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  • The therapeutic intervention led to significant improvement in thyroid function tests.
  • Patient symptoms also showed marked improvement following the treatment regimen.
  • Implications:

    • This case highlights a rare but serious adverse effect of combined nivolumab and ipilimumab immunotherapy.
    • It underscores the importance of monitoring thyroid function in patients receiving such treatments.
    • Early recognition and multidisciplinary management are key for favorable outcomes in immunotherapy-induced thyroid storm.