Weathering the crisis: A case of Thyroid crisis with Propranolol-Induced Circulatory Collapse successfully treated with Therapeutic Plasma Exchange
- Author:
Jean Mun Cheah
1
;
Danish Ng
1
;
Ming Yoong Low
2
;
Siew Hui Foo
1
Author Information
- Publication Type:Case Reports
- Keywords: Herapeutic plasma exchange
- MeSH: Thyroid Crisiscirculatory collapse; Shock; Cardiomyopathies; Propranolol
- From: Journal of the ASEAN Federation of Endocrine Societies 2019;34(2):206-209
- CountryPhilippines
- Language:English
- Abstract: Thyroid crisis is a life-threatening form of thyrotoxicosis characterized by multi-system dysfunction. Therapeutic plasma exchange has been reported to be effective in removing excessive circulating thyroid hormones. We present a 46-year-old female with recently diagnosed Graves’ disease associated with thyrotoxic cardiomyopathy admitted for thyroid crisis complicated by propranolol-induced circulatory collapse, acute kidney injury and ischemic hepatitis. The tachyarrhythmia was refractory to conventional therapy. Initiation of TPE resulted in rapid clinical and biochemical stabilization.
- Full text:559-Article Text-8533-1-10-20191111.pdf
