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KMID : 1100920240450010051
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Korean Journal of Family Medicine
2024 Volume.45 No. 1 p.51 ~ p.55
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A Case of Acute Neurologic Deficit and Hypoglycemia in the Setting of Thyroid Storm and Diabetic Ketoacidosis: A New Clinical Scenario
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Alena Aleksashina
Svetlana Rachina
Gayrat Kiyakbaev
Girindu Hewathanthirige
Yulia Cherdantseva
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Abstract
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The simultaneous development of diabetic ketoacidosis (DKA) and thyroid storm (TS) is a rare but potentially life-threatening condition that requires immediate and targeted treatment. However, their combined diagnosis poses a serious challenge because of the similarities between their clinical manifestations. To date, only a few dozen cases have been described; most of which have been linked to the progression of thyrotoxicosis or uncontrolled hypergly-cemia as contributing factors. We present the case of a 37-year-old woman with type 1 diabetes mellitus and Graves’ disease who presented with both TS and DKA. She was initially admitted to the emergency department as a suspected case of stroke. Severe hypoglycemia significantly lowered her alertness to TS and probably provoked a sharp hyperthyroid decompensation, thereby leading to subsequent DKA development.
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KEYWORD
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Thyroid Storm, Diabetic Ketoacidosis, Hypoglycemia, Graves’ Disease, Type 1 Diabetes Mellitus, Burch-Wartofsky Point Scale, Case Report
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