Thyroid storm - Thyrotoxic crisis

High urgency
-Moderately severe

A condition caused by a large, rapid increase in thyroid hormones.

It can occur in patients with untreated hyperthyroidism (often undiagnosed) triggered by an acute event such as surgery, trauma, labour or a large increase in iodine.

Symptoms include tachycardia and arrhythmias, restlessness, mental confusion, diarrhoea, tremors, sweating and fever.

The diagnosis is made clinically by interview and physical examination. It is confirmed by blood tests.

Early intensive treatment with symptom control and drugs that block the production of more thyroid hormone is needed. It is considered a medical emergency that requires immediate medical attention.

Bibliographic references
  1. Douglas S Ross, MD. Thyroid storm. UpToDate, Febrero, 2015.
  2. Akamizu T. Diagnostic criteria, clinical features, and incidence of thyroid storm based on nationwide surveys. Thyroid 2012; 22:661.
  3. Swee du S. Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Endocr Pract 2015; 21:182.
  4. Angell TE. Clinical features and hospital outcomes in thyroid storm: a retrospective cohort study. J Clin Endocrinol Metab 2015; 100:451.
  5. A. M.ª Lucas Martín. Enfermedades de la glándula tiroides. Farreras Rozman. Medicina Interna, ed 18. Capítulo 231
  6. J. Larry Jameson. Trastornos de la glándula tiroides. Harrison. Principios de Medicina Interna, 19e. Capítulo 405.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Fever / Feel very hot


    Bulging eyes


    State of anxiety


    Tachycardia


    Dry skin

Pre-hospital care recommendations

Call medical assistance for instructions.