|
KMID : 1202020140070020185
|
|
Journal of Korean Thyroid Association
2014 Volume.7 No. 2 p.185 ~ p.189
|
|
|
A Case of Severe Thyrotoxicosis Caused by Graves’ DiseasePresenting with Myasthenic Crisis
|
|
Kim Sun-Hee
Park Tae-Sun
Baek Hong-Sun
Jin Heung-Yong
|
|
|
Abstract
|
|
|
|
Thyrotoxicosis due to autoimmune thyroid disease occurs in approximately 5% to 10% of patients withmyasthenia gravis (MG), whereas the incidence of MG in patients with Graves’ disease is much less atapproximately 0.2%. Recently, we experienced a 40-year-old male patient diagnosed with thyroid storm withsevere respiratory failure and lower extremity weakness. At first, he was diagnosed with Graves’ disease andcritical illness neuropathy. His thyroid function was improved by anti-thyroid drug, but his neurologic functionaggravated at the same time. He accordingly diagnosed with myasthenia gravis. We studied that when weshould examine the neurologic function from this case. Our case highlights the importance of investigatingmuscle weakness or other neurologic problems in the thyrotoxic patient during their management.
|
|
|
KEYWORD
|
|
|
Graves, Myasthenia gravis, Neuropathy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|