Thyroid

Abstract

Thyroid storm is associated with multisystem decompensation and high mortality if untreated. Early clinical recognition and aggressive treatment in a high dependency setting are crucial to a successful outcome. A combination of high-dose antithyroid medication, β-blockade, iodine, steroids and careful haemodynamic management are the essential therapeutic elements, with the potential for a prompt recovery. The pathophysiology, causes and treatment of thyroid storm are reviewed.