SFEBES2018 Clinical Management Workshops Workshop 2: Endocrine emergencies (3 abstracts)
Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Thyroid storm is a rare medical emergency with high mortality and is difficult to diagnose and treat. The optimal treatment regimen is not clear, and options include combinations of beta blockade, high dose anti-thyroid drugs, potassium iodide, dexamethasone, iodinated contrast agents, plasmapheresis and dialysis. Patients with severe, uncontrolled thyrotoxicosis, unresponsive to anti-thyroid drug therapy, represent a group of patients in whom treatment can be particularly challenging, especially if co-morbidities such as cardiac disease or myopathy are present. In this session I will summarise the literature on thyrotoxic crises and, based on this and personal experience, provide a suggested treatment algorithm for these patients.