ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences
Potentially life-threatening emergency
Thyroid storm
Print
Other Resources UpToDate PubMed
Potentially life-threatening emergency

Thyroid storm

Print Images (1)
Contributors: Casey Silver MD, Abhijeet Waghray MD
Other Resources UpToDate PubMed

Synopsis

Thyroid storm is a rare, life-threatening disorder of the thyroid characterized by sudden-onset thyrotoxicosis. It is often caused by an acute event such as thyroid surgery, trauma, infection, or iodine load. It may also be caused by oversecretion of thyroid hormone or sudden reduction in thyroid-suppression medication.

Common signs and symptoms include high fever, tachycardia, congestive heart failure, arrhythmia, altered mental status, agitation, tremor, diarrhea, confusion, and sweating.

Management consists of reducing fever, reducing thyroid-hormone release, and identifying and limiting causal factors.

Codes

ICD10CM:
E05.91 – Thyrotoxicosis, unspecified with thyrotoxic crisis or storm

SNOMEDCT:
29028009 – Thyrotoxic crisis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

  • Thyrotoxicosis without storm – Thyroid storm is based on the severity of symptoms.
Thyroid function tests (especially free T4 and T3) should be normal in other causes of fever:

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

Subscription Required

References

Subscription Required

Last Reviewed: 07/02/2019
Last Updated: 07/03/2019
Copyright © 2019 VisualDx®. All rights reserved.
Potentially life-threatening emergency
Thyroid storm
Print 1 Images
Thyroid storm : Altered mental state, Diarrhea, Vomiting, Tachycardia, Goiter, Tremor, BP increased, Bibasilar crackles, Hyperpyrexia
Copyright © 2019 VisualDx®. All rights reserved.