ISSN: 2423-6438  
J Renal Endocrinol. 2018;4(1): e18.

Case Report

A case of thyroid storm; a challenge to diagnose 

Zahra Freidooni, Majid Forootan *

1 Department of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran
*Corresponding Author: Majid Forootan; Email; Email:


Thyroid storm is a malignant presentation of hyperthyroidism which has a mortality rate of 10% to 30% around the world. Lack of direct laboratory test has made the diagnosis of thyroid storm a challenge in clinical practice. There is no consensus about the diagnosis of thyroid storm and the clinical view, which experience of the practitioner is vital for proper diagnosis of this situation. Early diagnosis may lead to fast initiation of aggressive treatment to prevent mortality. In this report, we present a case of thyroid storm which was first approached based on her gastrointestinal (GI) symptoms and re-visited in our center because of no improvement in her GI symptoms and also addition of CNS manifestations.
Citation: Freidooni Z, Forootan M. A case of thyroid storm; a challenge to diagnose. J Renal Endocrinol. 2018;4:e18.  
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Submitted: 15 Apr 2018

Accepted: 20 May 2018
First published online: 26 May 2018
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