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Weathering the storm: A case of thyroid storm refractory to conventional treatment benefiting from therapeutic plasma exchange
Author(s) -
Wyble Aaron J.,
Moore Steven C.,
Yates Sean G.
Publication year - 2018
Publication title -
journal of clinical apheresis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.697
H-Index - 46
eISSN - 1098-1101
pISSN - 0733-2459
DOI - 10.1002/jca.21658
Subject(s) - thyroid storm , medicine , therapeutic plasma exchange , refractory (planetary science) , cholestyramine , intensive care medicine , thyroid , apheresis , physics , cholesterol , astrobiology , platelet
Thyroid storm is a severe manifestation of thyrotoxicosis characterized by systemic organ dysfunction secondary to a hypermetabolic state. Although antithyroid drugs, steroids, beta‐blockers, antipyretics, and cholestyramine are the standard of care, some patients inadequately respond to these conventional therapies. Therapeutic plasma exchange has been previously utilized as a treatment modality in patients with a poor response to routine therapies or with contraindications to them. Herein, we report our experience with the management of a case of thyroid storm refractory to conventional treatment but responsive to therapeutic plasma exchange.