Journal of Korean Endocrine Society 2002;17(4):589-595.
Published online August 1, 2002.
A Case of Thyroid Storm Developed after Dilatation and Curettage for Invasive Molar Pregnancy.
Joon Sung Park, Jun Goo Kang, Chang Beom Lee, Yong Soo Park, Dong Sun Kim, Tae Wha Kim, Joon Soo Hahm, Jung Han Lee, Jung Hyae Hwang, Seung Ryong Kim, You Hern Ahn
1Department of internal medicine, School of Medicine, Hanyang University Medical Center,Seoul, Korea.
2Department of obstetrics, School of Medicine, Hanyang University Medical Center, Seoul, Korea.
3Department of gynecology, School of Medicine, Hanyang University Medical Center, Seoul, Korea.
Abstract
Thyroid dysfunction is one of the more prevalent clinical situations encountered by primary care physicians. Thyroid storm is defined as a life-threatening exacerbation of the hyperthyroid state in which there is evidence of decompensation of one or more organ systems. Common precipitants include infection, surgery, diabetic ketoacidosis, vascular accidents, non-compliance with antithyroid medication, and emotional stress, but rarely develop in invasive molar pregnancy. An 18-year-old woman presented to the emergency department complaining of lower abdominal pain and vaginal spotting. She had no previous history of hyperthyroidism. Under the diagnosis of invasive molar pregnancy, dilatation and curettage was performed. However, right after the procedure the patient developed a semi-coma metal status, high grade fever, and tachycardia. Prompt diagnosis of thyroid storm was made and treatment followed immediately. We present a case of thyroid storm and a review of thyroid storm precipitated by invasive molar pregnancy.
Key Words: Thyroid storm, Invasive molar pregnancy, beta-hCG


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