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ACUTE PAINFUL THYROIDITIS AND THYROTOXICOSIS AFTER PCI - A CASE STUDY
Ena Kurtić1, Ivica Premužić Meštrović1, Matija Marković1
1Merkur University Hospital, Zagreb, Croatia.
Acta Clinica Croatica
|September 23, 2024
Summary
A rare case of destructive thyroiditis occurred after percutaneous coronary intervention (PCI). Iodine from contrast dye likely triggered this painful thyroid inflammation, highlighting risks for cardiac patients.
Area of Science:
- Endocrinology
- Cardiology
- Internal Medicine
Background:
- Destructive thyroiditis involves acute thyroid hormone release.
- Percutaneous coronary intervention (PCI) is a common cardiac procedure.
Observation:
- A rare case of acute painful thyroiditis following PCI for non-ST-elevation myocardial infarction is presented.
- The patient exhibited symptoms consistent with destructive thyroiditis, including thyroid pain and elevated fT3, fT4, and inflammatory markers.
Findings:
- Iodinated contrast media used during PCI is implicated as the likely cause of thyroiditis.
- The high iodine load may induce local inflammation, leading to acute destructive thyroiditis.
Implications:
- Invasive cardiologists must recognize the risk of thyroid dysfunction post-PCI.
- Awareness of iodinated contrast-induced thyroiditis is crucial for patient management and prevention strategies.
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