Korean J Obstet Gynecol.
2004 Feb;47(2):398-400.
A Case of Thyrotoxic Storm Triggered by Virgorous Palpation of Thyroid Gland After Delivery
- Affiliations
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- 1Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- 2Department of Obstetrics and Gynecology, Hanyang University College of Medicine, Seoul, Korea.
Abstract
- Although the mortality has been reduced with aggressive approach, thyrotoxic storm or crisis is still a life-threatening condition and usually triggered by preeclampsia, placenta previa, congestive heart failure, infections and induction of labor during pregnancy. We report here a 28-year-old pregnant woman suspicious of placenta previa without a previous history of hyperthyroidism was admitted to the hospital with vaginal spotting and labor. After receiving a Cesarean section, thyrotoxic manifestations were developed and she became stable with antithyroid therapy. The second attack of thyrotoxic storm was presented after a thyroid ultrasonographic study. It appears that the vigorous examination of thyroid gland carries a significant risk of thyrotoxic crisis in poorly controlled hyperthyroidism.
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