Indian Journal of Endocrine Surgery and Research

Register      Login

VOLUME 17 , ISSUE 2 ( July-December, 2022 ) > List of Articles


Unusual Presentation of Thyroid Storm in a Patient with Metastatic Follicular Carcinoma of Thyroid

Ashwinee Rahalkar

Keywords : Diabetes mellitus, Metastatic follicular thyroid carcinoma, Thyroidectomy, Thyroid storm

Citation Information : Rahalkar A. Unusual Presentation of Thyroid Storm in a Patient with Metastatic Follicular Carcinoma of Thyroid. 2022; 17 (2):69-71.

DOI: 10.5005/jp-journals-10088-11201

License: CC BY-NC 4.0

Published Online: 30-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Thyroid storm (TS) is a rare, acute life-threatening complication with a high mortality rate. We present a case report of the unusual presentation of TS in a patient with metastatic follicular thyroid carcinoma with poorly controlled diabetes mellitus.

  1. Ross DS, Burch HB, Cooper DS, et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid 2016;26(10):1343–1421. DOI: 10.1089/thy.2016.0229.
  2. Cooppan R, Kozak GP. Hyperthyroidism and diabetes mellitus. An analysis of 70 patients. Arch Intern Med 1980;140(3):370–373. PMID: 6767456.
  3. Bratusch-Marrain PR, Komjati M, Waldhausl WK. Glucose metabolism in noninsulin-dependent diabetic patients with experimental hyperthyroidism. J Clin Endocrinol Metab 1985;60(6):1063–1068. DOI: 10.1210/jcem-60-6-1063.
  4. Potenza M, Via MA, Yanagisawa RT. Excess thyroid hormone and carbohydrate metabolism. Endocr Pract 2009;15(3):254–262. DOI: 10.4158/EP.15.3.254.
  5. Akamizu T, Satoh T, Isozaki O, et al. Diagnostic criteria, clinical features, and incidence of thyroid storm based on nationwide surveys. Thyroid 2012;22(7):661–679. DOI: 10.1089/thy.2011.0334.
  6. Pinto A, Drake T, Cayci Z, et al. Thyroid storm with coma in a patient with metastatic thyroid carcinoma and graves disease: Won the battle but lost the war. AACE Clin Case Rep 2019;5:e7–e12. DOI: 10.4158/ACCR-2018-0262.
  7. Gardner D, Ho SC. A rare cause of hyperthyroidism: Functioning thyroid metastases. Case Reports 2014;2014:bcr2014206468. DOI: 10.1136/bcr-2014-206468.
  8. Tewari K, Balderston KD, Carpenter SE, et al. Papillary thyroid carcinoma manifesting as thyroid storm of pregnancy: Case report. Am J Obstet Gynecol 1998;179(3 Pt 1):818–819. DOI: 10.1016/s0002-9378(98)70091-2.
  9. Folkestad L, Brandt F, Brix T, et al. Total thyroidectomy for thyroid ancer followed by thyroid storm due to thyrotropin receptor antibody stimulation of metastatic thyroid tissue. Eur Thyroid J 2017;6(5): 276–280. DOI: 10.1159/000479061.
  10. Naito Y, Sone T, Kataoka K, et al. Thyroid storm due to functioning metastatic thyroid carcinoma in a burn patient. Anesthesiology 1997;87(2):433–435. DOI: 10.1097/00000542-199708000-00034.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.