Korean J Anesthesiol.  2005 May;48(5):545-548. 10.4097/kjae.2005.48.5.545.

Thyrotoxic Crisis in Graves' Patient with Severe Uncontrolled DM during Surgery: One case report

• Lee C
• Moon SY
• Song YK
• Son Y

• KMID: 2238408
• DOI: http://doi.org/10.4097/kjae.2005.48.5.545

Abstract

Thyrotoxic crisis is a medical emergency with an associated mortality of 10-75%. It is usually encountered in patients with poorly controlled or undiagnosed Graves' disease. The occurrence of thyrotoxic crisis is rare due to routine function tests, which enable a diagnosis to be made even in its subclinical form. However, a thyrotoxic crisis can develop rapidly and bears little relationship to circulating thyroid hormone levels. We present a case of a thyrotoxic crisis in a 52-year-old woman, whose emergent thyroid function tests revealed a near normal euthyroid level. Her Hb A1c was 10.5% before the operation.

Keyword

Graves' disease; thyrotoxic crisis

MeSH Terms

Diagnosis
Emergencies
Female
Graves Disease
Hemoglobin A, Glycosylated
Humans
Middle Aged
Mortality
Thyroid Crisis*
Thyroid Function Tests
Thyroid Gland
Hemoglobin A, Glycosylated