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Spontaneous Unilateral Carotid Dissection: A Case Report of a Rare Complication in a Patient With Graves' Disease.
Cureus
October 2024
Department of Endocrinology and Metabolism, University of Antioquia, Hospital San Vicente Foundation, Medellín, COL.
Carotid artery dissection (CAD) is a recognized cause of ischemic stroke (IS) in young adults. At the same time, hyperthyroidism, particularly in the context of thyroid storm (TS), can also lead to IS through mechanisms related and unrelated to atrial fibrillation (AF). However, the coexistence of CAD and thyrotoxicosis is extremely rare.
View Article and Find Full Text PDFFrom Syncope to Pregnancy: A Case Report of Gestational Transient Thyrotoxicosis.
Cureus
September 2024
Department of Endocrinology, Diabetes, and Metabolism, Centro Hospitalar Universitário de Santo António, Unidade Local de Saúde de Santo António, Porto, PRT.
With a multifactorial etiology, syncope is a fairly common clinical presentation in emergency care. During pregnancy, it can result from hemodynamic and hormonal changes. One such rare cause is hyperthyroidism.
View Article and Find Full Text PDFA Case of Refractory Thyroid Storm Despite Correction of Peripheral Thyroid Hormone Levels.
JCEM Case Rep
October 2024
Division of Endocrinology, Diabetes and Metabolism, Virginia Commonwealth University Department of Internal Medicine, Richmond, VA 23298, USA.
Thyroid storm is a life-threatening complication of hyperthyroidism that necessitates early diagnosis for aggressive, effective treatment. We present a patient with a newly diagnosed multinodular goiter who presented to the emergency department with leg swelling, dyspnea, tremors, and atrial fibrillation with elevation in thyroid hormone levels consistent with thyrotoxicosis. Despite improvement in peripheral hormone levels on maximized medical treatment with beta-blockers, methimazole, glucocorticoids, cholestyramine, and potassium iodide, she continued to clinically decline with new encephalopathy, heart failure, and liver and kidney dysfunction while receiving treatment.
View Article and Find Full Text PDFThyrotoxic periodic paralysis (TPP) is a clinical condition characterized by hypokalemia, muscle paralysis, and hyperthyroidism. TPP can be challenging to diagnose due to its low disease prevalence and the similarity of paralysis to other common conditions. Through this case report, we highlight the importance of considering hyperthyroidism as a cause of recurrent attacks of muscle paralysis, particularly in the setting of other signs of hyperthyroidism.
View Article and Find Full Text PDFUnexpected Grave's-induced acute myocardial infarction in a young female, a literature review based on a case report.
Int J Emerg Med
September 2024
Faculty of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran.
Introduction: Myocardial ischemia can occur due to several causes, which result in an imbalance between the supply and demand of oxygen to cardiac muscles. One potential reason for this condition is the overwork of the heart due to hyperstimulated thyroid function.
Case Presentation: The patient was a 36-year-old woman who presented with left-sided chest pain, dyspnea, palpitation, and tremor.
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