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Thyroid Storm Presenting as Psychosis.

Dimpi Desai1, Sara Zahedpour Anaraki2, Neetha Reddy2

  • 1Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Journal of Investigative Medicine High Impact Case Reports
|May 26, 2018
PubMed
Summary
This summary is machine-generated.

Thyroid storm, a rare endocrine emergency, can manifest unusually as psychosis. Prompt diagnosis and treatment, including plasmapheresis and thyroidectomy, are crucial for recovery from this life-threatening condition.

Keywords:
hyperthyroidismplasmapheresispsychosisthyroid stormthyrotoxicosis

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Area of Science:

  • Endocrinology
  • Internal Medicine
  • Psychiatry

Background:

  • Thyroid storm is a severe endocrine emergency with high mortality.
  • It involves excessive thyroid hormone leading to systemic manifestations.
  • Recognizing uncommon presentations is vital for timely intervention.

Purpose of the Study:

  • To highlight psychosis as an unusual presenting symptom of thyroid storm.
  • To emphasize the importance of considering thyroid storm in psychiatric presentations.
  • To discuss management strategies for refractory thyroid storm.

Main Methods:

  • Case report of a young woman with psychosis as the primary symptom of thyroid storm.
  • Review of diagnostic and treatment approaches for thyroid storm.
  • Description of the patient's response to plasmapheresis and thyroidectomy.

Main Results:

  • The patient presented with psychosis, an uncommon manifestation of thyroid storm.
  • Conventional treatment was insufficient, necessitating advanced interventions.
  • Plasmapheresis and thyroidectomy led to complete recovery and return to baseline mental status.

Conclusions:

  • Psychosis can be a presenting symptom of thyroid storm, necessitating thorough endocrine evaluation.
  • Refractory thyroid storm may require aggressive management including plasmapheresis and thyroidectomy.
  • Early and comprehensive treatment is critical for improving outcomes in thyroid storm.