Détail du document
Identifiant
doi:10.1186/s13044-024-00190-y...
Auteur
Vadini, Vidhu Vasistha, Prabhav Shalit, Almog Maraka, SpyridoulaLangue
enEditeur
BioMed Central
Catégorie
Medicine & Public Health
Année
2024
Date de référencement
24/01/2024
Mots clés
thyroid storm pregnancy hyperthyroidism thyroid stormRésumé
Background Thyroid storm is a state of circulating thyroid hormone excess leading to multiorgan dysfunction and systemic decompensation.
It typically occurs in the setting of poorly controlled hyperthyroidism and a precipitating illness or event.
Management of thyroid storm in pregnancy poses unique diagnostic and therapeutic challenges.
Main body Thyroid storm is a clinical diagnosis characterized by hyperpyrexia, tachyarrhythmias, congestive heart failure, gastrointestinal and neuropsychiatric disturbances.
However, diagnostic scoring systems have not been validated in pregnancy.
Treatment involves specialist consultation, supportive care, and pharmacological options such as anti-thyroid medications, beta blockers, iodine solutions, glucocorticoids, and cholestyramine.
These must be adapted and modified in pregnancy to prevent fetal and maternal complications.
Conclusion There is a critical need to recognize thyroid storm during pregnancy and initiate proper medical interventions promptly.
Vadini, Vidhu,Vasistha, Prabhav,Shalit, Almog,Maraka, Spyridoula, 2024, Thyroid storm in pregnancy: a review, BioMed Central
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