Evidence map›Paper›PMID 41487723›Full record

ArticleCureus2025

Treatment of Severe Thyrotoxicosis With Therapeutic Plasma Exchange in a Patient With a Methimazole Adverse Reaction.

Yaroslav Buryk, Concepcion Arteaga, Leah E Magdal, Joseph T DiMarco, Olutomi T Akinsete

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yaroslav BurykDivision of Pulmonary, Critical Care and Sleep Medicine, University of Miami, Miami, USA.
Concepcion ArteagaCritical Care, Jackson Health System, Miami, USA.
Leah E MagdalCritical Care, American University of the Caribbean School of Medicine, Miami, USA.
Joseph T DiMarcoCritical Care, American University of the Caribbean School of Medicine, Miami, USA.
Olutomi T AkinseteCritical Care, American University of the Caribbean School of Medicine, Miami, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent research indicates that therapeutic plasma exchange (TPE) has been successfully used in the treatment of thyrotoxicosis in patients where conventional treatment measures failed to effectively control severe thyrotoxicosis, also known as thyroid storm. We present the case of a woman in her late 70s with a history of atrial fibrillation (AFib), hypertension, hyperthyroidism, and anxiety, who presented to the hospital following a hemorrhagic stroke and myocardial infarction that subsequently developed severe thyrotoxicosis following the administration of levothyroxine. During her treatment course, the patient experienced an adverse reaction to methimazole, complicating management by precluding the use of conventional treatment protocols for severe thyrotoxicosis. TPE was successfully used to stabilize the patient over the course of two plasma exchanges without the need for thyroidectomy or radio-iodine ablation of the thyroid post stabilization, and was able to be safely discharged home.

Indexed as

acute management of thyrotoxicosisacute thyrotoxic crisisdrug-induced thyrotoxicosismanagement of thyrotoxicosismedical critical caremethimazole adverse reactionsevere thyrotoxicosistherapeutic plasma exchange (tpe)therapeutic plasmapheresisthyroid-storm

Identifiers

PMID41487723
PMCPMC12757001

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.