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http://dx.doi.org/10.7326/0003-4819-155-9-201111010-00020DOI Listing

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Article Synopsis
  • Thyrotoxic cardiomyopathy is a serious complication from thyrotoxicosis that can lead to acute heart failure, highlighting the need for early diagnosis and management.* -
  • A patient presented with symptoms of dyspnea and acute heart failure, leading to a diagnosis of thyrotoxic cardiomyopathy and subsequent treatment with diuretics and antiarrhythmics.* -
  • Post-treatment, the patient's heart function improved significantly, showcasing the potential for recovery and the importance of timely intervention in similar cases.*
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Rationale: Iodine-induced hyperthyroidism and triiodothyronine (T3) thyrotoxicosis in patients who routinely gargle with povidone-iodine (PVP-I) gargling solution are rare in Japan.

Patient Concerns: A 50-year-old man presented to our hospital for a close examination of an enlarged thyroid, which was noted during a complete health checkup. The thyroid was slightly enlarged with no palpable nodules.

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Rationale: Thyroid storm (TS), also known as thyroid crisis, is a life-threatening condition that involves multiple organ dysfunction and high mortality due to uncontrolled hyperthyroidism. TS in children is extremely rare, early diagnosis and treatment can significantly improve the prognosis of the children.

Patient Concerns: Three female children who diagnosed as "thyroid storm" were admitted to Pediatric Intensive Care Unit (PICU).

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Rationale: Thyroid storm (TS) is a rare life-threatening hypermetabolic thyrotoxicosis with an incidence of 0.57-0.76/100,000.

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Rationale: Cardiac arrest due to thyroid storm is a very rare clinical feature with high mortality that presents as multiorgan dysfunction. The mortality rate under this condition is close to 30%, even with appropriate treatment. Most thyroid storms occur in patients with long-standing untreated hyperthyroidism.

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