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Graves' hyperthyroidism induced pancytopenia, epilepsia and muscle weakness: A case report
Bao Fu1, Dinghong He2, Zhengguang Geng1
1Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, China.
Rationale:
Pancytopenia and epilepsia are rare complications of Graves' disease (GD). Muscle weakness is a physical sign of GD. It is extremely rare for GD patients to present 3 symptoms at the same time.
Patient Concerns:
A 35-year-old female was admitted to hospital for dizziness for 1 day. The results of laboratory examination on admission showed pancytopenia and hypothyroidism. Her clinical manifestations include pancytopenia, epilepsy, and muscle weakness.
Diagnosis:
Graves' hyperthyroidism.
Interventions:
She received endotracheal intubation, ventilator, antithyroid drugs, and hormone therapy.
Outcome:
The patient was discharged after treatment.
Lesson:
Severe complications caused by GD are rare and require antithyroid therapy. Although glucocorticoid is not recommended by the guidelines, it can effectively improve thrombocytopenia.
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