Recurrent impending thyroid storm in a girl with Graves’ disease: a case report

  • Novina Novina Department of Child Health, Universitas Padjadjaran Medical School/Dr. Hasan Sadikin Hospital, Bandung, West Java
  • Nisa Hermina Putri Sehat Mandiri Clinic, Bandung, West Java
  • Nadia Pramudani Sehat Mandiri Clinic, Bandung, West Java
  • Faisal Faisal Department of Child Health, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java
Keywords: thyroid storm; hyperthyroidism; Graves’ disease; COVID-19 pandemic

Abstract

Thyroid storm is an acute, life-threatening, hypermetabolic state in children with thyrotoxicosis. Before the thyroid storm occurs, the patient falls into a “warning stage” called impending thyroid storm. Rapid diagnosis and prompt treatment of an impending thyroid storm are crucial to prevent further life-threatening impacts. We describe a pediatric patient who experienced two episodes of impending thyroid storm with negative COVID-19 tests during the COVID-19 pandemic.

References

1. Zhang R, Ma S, Shanahan L, Munroe J, Horn S, Speedie S. Discovering and identifying New York Heart Association Classification from Electronic Health Records. BMC. 2018;2:1–13. DOI: https://doi.org/10.1186/s1291-018-0625-7.
2. Pandya M, Garcia A, Awori J. Thyrotoxicosis in a pediatric patient with supraventricular tachycardia and borderline features of thyroid storm. AACE Clin Case Rep. 2019;5(6):393–5. DOI: https://doi.org/10.4158/ACCR-2019-0261.
3. Huang SA, LaFranchi SH. Hyperthyroidism. In: Kliegman R, Stanton B, St Geme JW, Schor NF, Behrman RE, Nelson WE (eds). Nelson Textbook of Pediatrics. 21st ed. Philadelphia: Elsevier; 2016. p2680.
4. Committee on Pharmaceutical Affairs, Japanese Society for Pediatric Endocrinology, and the Pediatric Thyroid Disease Committee, Japan Thyroid Association (Taskforce for the Revision of the Guidelines for the Treatment of Childhood-Onset Graves’ Disease); Minamitani K, Sato H, Ohye H, Harada S, Arisaka O. Guidelines for the treatment of childhood-onset Graves’ disease in Japan. Clin Pediatr Endrocinol. 2017;26:29–62. DOI: https://doi.org/10.1297/cpe.26.29.
5. Bonfield A, Shenoy S. Thyrotoxic crisis as an acute clinical presentation in children. BMJ Case Rep. 2018 Mar 23:bcr2017222850. DOI: https://doi.org/10.1136%2Fbcr-2017-222850.
6. Underland LJ, Villeda GAV, Pal A, Lam L. A case of thyroid storm associated with cardiomyopathy and poststreptococcal glomerulonephritis. Case Rep Pediatr. 2016:7192359. DOI: https://doi.org/10.1155/2016/7192359.
7. Williams GR, Bassett JHD. Thyroid diseases and bone health. J Endocrinol Invest. 2018;41:99–109. DOI: https://doi.org/10.1007/s40618-017-0753-4.
8. The American Thyroid Association and American Association of Clinical Endocrinologists Taskforce on Hyperthyroidism and Other Causes of Thyrotoxicosis; Bahn RS, Burch HB, Cooper DS, Garber JR, Greenlee MC, Klein I, et al. Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Thyroid. 2011;21:593–646. DOI: https://doi.org/10.1089/thy.2010.0417.
9. Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, et al. American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxicosis. Thyroid. 2016;26:1343–421. DOI: https://doi.org/10.1089/thy.2016.0229.
10. Carroll R, Matfin G. Endocrine and metabolic emergencies: thyroid storm. Ther Adv Endocrinol Metab. 2010;1:139–45. DOI: https://doi.org/10.1177/ 2042018810382481.
11. Stefan S, Hillary WB. A case of impending thyroid storm in a patient with subacute thyroiditis following an influenza vaccine. J Endocr Soc. 2020;4:1. DOI: https://doi.org/10.1210%2Fjendso%2Fbvaa046.1814.
12. Sen S, Palmieri T, Greenhalgh D. Thyroid storm in a pediatric high voltage electrical burn injury. Burns Open. 2018;2:76–8. DOI: https://doi.org/10.1016/j.burnso.2017.09.003.
13. Creo AL, Cannon BC, Pittock ST. Thyroid storm after choking. J Pediatr Endocrinol Metab. 2018;31(8):933–6. DOI: https://doi.org/10.1515/jpem-2018-0072.
14. Srinivasan S, Misra M. Hyperthyroidism in children. Pediatr Rev. 2015;36:239–48. DOI: https://doi.org/10.1542/pir.36-6-239.
Published
2023-12-15
How to Cite
1.
Novina N, Putri N, Pramudani N, Faisal F. Recurrent impending thyroid storm in a girl with Graves’ disease: a case report. PI [Internet]. 15Dec.2023 [cited 22Feb.2024];63(6):517-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2750
Section
Case Report
Received 2021-08-20
Accepted 2023-12-15
Published 2023-12-15