A Case of Severe Thyrotoxicosis Caused by Graves' Disease Presenting with Myasthenic Crisis.
10.11106/cet.2014.7.2.185
- Author:
Sun Hee KIM
1
;
Tae Sun PARK
;
Hong Sun BAEK
;
Heung Yong JIN
Author Information
1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea. mdjinhy@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Graves;
Myasthenia gravis;
Neuropathy
- MeSH:
Adult;
Critical Illness;
Graves Disease*;
Humans;
Incidence;
Lower Extremity;
Male;
Muscle Weakness;
Myasthenia Gravis;
Respiratory Insufficiency;
Thyroid Crisis;
Thyroid Diseases;
Thyroid Gland;
Thyrotoxicosis*
- From:Journal of Korean Thyroid Association
2014;7(2):185-189
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thyrotoxicosis due to autoimmune thyroid disease occurs in approximately 5% to 10% of patients with myasthenia gravis (MG), whereas the incidence of MG in patients with Graves' disease is much less at approximately 0.2%. Recently, we experienced a 40-year-old male patient diagnosed with thyroid storm with severe respiratory failure and lower extremity weakness. At first, he was diagnosed with Graves' disease and critical illness neuropathy. His thyroid function was improved by anti-thyroid drug, but his neurologic function aggravated at the same time. He accordingly diagnosed with myasthenia gravis. We studied that when we should examine the neurologic function from this case. Our case highlights the importance of investigating muscle weakness or other neurologic problems in the thyrotoxic patient during their management.
