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Predictive features associated with thyrotoxic storm and management

Thyroid storm (TS) is an endocrine emergency characterized by rapid deterioration, associated with high mortality rate therefore rapid diagnosis and emergent treatment is mandatory. In the past, thyroid surgery was the most common cause of TS, but recent preoperative medication creates a euthyroid s...

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Bibliographic Details
Published in:Gland surgery 2017-10, Vol.6 (5), p.546-551
Main Authors: Bacuzzi, Alessandro, Dionigi, Gianlorenzo, Guzzetti, Luca, De Martino, Alessandro Ivan, Severgnini, Paolo, Cuffari, Salvatore
Format: Article
Language:English
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Summary:Thyroid storm (TS) is an endocrine emergency characterized by rapid deterioration, associated with high mortality rate therefore rapid diagnosis and emergent treatment is mandatory. In the past, thyroid surgery was the most common cause of TS, but recent preoperative medication creates a euthyroid state before performing surgery. An active approach during perioperative period could determine an effective clinical treatment of this life-threating diseases. Recently, the Japan Thyroid Association and Japan Endocrine Society developed diagnostic criteria for TS focusing on premature and prompt diagnosis avoiding inopportune e useless drugs. This review analyses predictive features associated with thyrotoxic storm highlighting recent literature to optimize the patient quality of care.
ISSN:2227-684X
2227-8575
DOI:10.21037/gs.2017.07.01