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  • Title: [Thyrotoxic crisis after exposure to iodine. A case with fatal outcome].
    Author: Blattmann H, Reinhardt M, Schümichen C, Moser E.
    Journal: Radiologe; 1994 Aug; 34(8):487-90. PubMed ID: 7972728.
    Abstract:
    A 78-year-old woman is presented with a multinodular toxic goiter and euthyroidism under continuous low-dose treatment with antithyroid drugs. A period of hyperthyroidism had been documented 3 years previously. In the preoperative management, prior to resection of a benign ovarian tumour, an intravenous urogram was performed. Perchlorate was given for thyroid protection. One day after surgery the clinical signs of thyroid storm were observed. Immediately, high-dose antithyroid drug therapy was started. Nevertheless, the patient died of acute cardiovascular failure 3 days later. This case report focuses on the risk of thyroid storm following iodine excess in the presence of relevant functional thyroid autonomy without adequate thyroid protection.
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