TORMENTA TIROIDEA PDF

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ISSN Objective: To present a clinical report of the coexistence of tirotoxicosis and diabetic ketoacidosis in childhood. Methods: Besides the clinical history, different studies were performed in order to evaluate her endocrine and metabolic conditions: thyroid hormone serum levels, hemathology, serum electrolites and arterial blood gases.

Thyroid gammagraphy and radioiodine uptake of the thyroid gland were performed. Results: A year-old school-girl, admitted in poor general conditions, with a weight loss of 10 kg in the last month. With a previous history of hyperthyroidism since she was 5 years old, receiving irregular treatment with methimazole in the last two years. Dehidration, and thyrotoxicosis were evident on clinical examination. Based on clinical and biochemical features the admission diagnosis were Graves disease, thyroid storm, and type 1-diabetes mellitus, complicated with diabetic ketoacidosis.

Dehydration and electrolyte disorder were corrected, and insulin hourly regimen was initiated, plus corticosteroids and b-adrenergic antagonists. Once the ketoacidosis and the thyroid function were normalized, 11mCi of radioiodine was administered.

Hyperthyroidism was controlled, and the patient was discharged in good control, to be followed in the outpatient clinic. Conclusions: We report a patient with the coexistence of two clinical entities of rare presentation in childhood, both of them with a autoimmune substratum; we review the existence of similar cases in the literature. Servicios Personalizados Articulo. Similares en SciELO.

Palabras clave : Diabetic ketoacidosis; thyroid storm. Alto Chama, Avda.

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Crisis tirotóxica (tormenta tiroidea). A propósito de dos observaciones

ISSN Objective: To present a clinical report of the coexistence of tirotoxicosis and diabetic ketoacidosis in childhood. Methods: Besides the clinical history, different studies were performed in order to evaluate her endocrine and metabolic conditions: thyroid hormone serum levels, hemathology, serum electrolites and arterial blood gases. Thyroid gammagraphy and radioiodine uptake of the thyroid gland were performed. Results: A year-old school-girl, admitted in poor general conditions, with a weight loss of 10 kg in the last month.

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Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. DOI: Thyrotoxic crisis, or thyroid storm, is a severe manifestation of hyperthyroidism. Although uncommon, this condition is life-threatening.

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