ArticleWorld journal of clinical cases2019
Therapeutic plasma exchange and a double plasma molecular absorption system in the treatment of thyroid storm with severe liver injury: A case report.
Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Comparing the prognostic impact of 131I and/or artificial liver support system on liver function failure combined with hyperthyroidism.Endocrine connections · 2024Article
- Efficacy of artificial liver support system in severe immune-associated hepatitis caused by camrelizumab: A case report and review of the literature.World journal of clinical cases · 2021Article
- Crash Landing of Thyroid Storm: A Case Report and Review of the Role of Extra-Corporeal Systems.Frontiers in endocrinology · 2021Review
- Comparison of plasma exchange, double plasma molecular adsorption system, and their combination in treating acute-on-chronic liver failure.The Journal of international medical research · 2020Article
- Intractable hiccups as a rare gastrointestinal manifestation in severe endocrine and metabolic crisis: case report and review of the literature.Therapeutic advances in endocrinology and metabolism · 2020Article
- Use of Plasmapheresis and Cholestyramine in the Management of Thyroid Storm in the Setting of Cardiogenic Shock and Elevated Liver Enzymes: A Case Report and Review of Literature.AACE endocrinology and diabetesArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThyroid storm is resistant to conventional treatments including antithyroid drugs and CASE SUMMARY: A 52-year-old woman presented with a 10-day history of nausea and vomiting accompanied by yellowing of the skin and mucosa. Further, her free T3 (FT3) and FT4 levels were significantly elevated, whereas her thyrotropin level was reduced. After admission, her condition continued to deteriorate, and she presented with continued high fever, vomiting, palpitation, and shortness of breath. After being diagnosed with thyroid storm, the patient was immediately treated with PE combined with DPMAS. Her symptoms improved immediately. After three PE + DPMAS treatments, and she was discharged from the hospital. She was treated with methylprednisolone and methylthimidazole. After six months, the patient spontaneously discontinued methylthimidazole treatment. Her previous clinical manifestations and liver dysfunction reoccurred. The patient was treated with PE + DPMAS two times, and her condition rapidly improved. Liver histopathology indicated immunological liver injury.
conclusionOur experience suggests that PE combined with DPMAS can effectively relieve the development of thyroid storm.
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