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Apathetic thyrotoxicosis

M Feroze1, H May

  • 1Department of Medicine, James Paget Hospital, Great Yarmouth, Norfolk, UK.

International Journal of Clinical Practice
|July 1, 1997
PubMed
Summary
This summary is machine-generated.

A young woman experienced severe heart failure, stroke, and cardiac arrest due to a rare form of hyperthyroidism called apathetic thyroid crisis. Prompt treatment led to a full recovery, highlighting the importance of recognizing this condition.

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Area of Science:

  • Cardiology
  • Endocrinology
  • Neurology

Background:

  • Apathetic thyroid crisis is a rare, severe manifestation of hyperthyroidism.
  • It typically presents with atypical symptoms, often mimicking non-thyroidal illness.
  • This case highlights its occurrence in a young, previously healthy individual.

Observation:

  • A 37-year-old woman presented with acute left ventricular failure, atrial fibrillation, and stroke.
  • Despite treatment, her condition deteriorated, leading to cardiac arrest and resuscitation.
  • Investigations revealed hyperthyroidism, specifically apathetic thyroid crisis.

Findings:

  • The patient exhibited symptoms of thyrotoxic crisis without typical hyperthyroid signs.
  • Apathetic thyroid crisis was diagnosed as the underlying cause.

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  • She achieved a complete recovery from neurological deficits and cardiac arrhythmias.

    • Implications:

    • This case underscores the diagnostic challenge of apathetic thyroid crisis, especially in younger patients.
    • Early recognition and management are crucial for favorable outcomes.
    • It expands the understanding of atypical presentations of thyroid emergencies.