Apatjetoc thyrotoxicosis secondary to atypical subacute thyroiditis

Alessia L. Carluccio; Nina K. Sundaram; Robert Yanagisawa; Yaron T. Tomer

doi:10.4158/EP11373.CR

Apatjetoc thyrotoxicosis secondary to atypical subacute thyroiditis

Alessia L. Carluccio, Nina K. Sundaram, Robert Yanagisawa, Yaron T. Tomer

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Objective: To report a case of apathetic thyrotoxicosis with an etiology of subacute thyroiditis.Methods: We describe the patient's clinical findings, laboratory findings, and clinical course.Results: An 85-year-old woman with no history of thyroid disease presented with severe obtundation and altered mental status. Laboratory testing documented elevated free thyroxine and free triiodothyronine concentrations and a suppressed thyrotropin concentration. Thyroid antibodies were absent. A radioactive iodine study revealed severely diminished uptake, suggestive of thyroiditis. After a short course of steroids, the patient's mental status returned to baseline. Follow-up laboratory testing showed normalizing thyroid function.Conclusion: Even in the absence of a history of thyroid disease, we recommend considering thyroid dysfunction in the differential diagnosis of patients who present with altered mental status, particularly in the elderly population.

Original language	English (US)
Pages (from-to)	e127-e129
Journal	Endocrine Practice
Volume	18
Issue number	5
DOIs	https://doi.org/10.4158/EP11373.CR
State	Published - Sep 1 2012
Externally published	Yes

ASJC Scopus subject areas

Endocrinology, Diabetes and Metabolism
Endocrinology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.4158/EP11373.CR

Cite this

@article{eb5bfe7cfd974f5e9f6fc29b31d4810f,

title = "Apatjetoc thyrotoxicosis secondary to atypical subacute thyroiditis",

abstract = "Objective: To report a case of apathetic thyrotoxicosis with an etiology of subacute thyroiditis.Methods: We describe the patient's clinical findings, laboratory findings, and clinical course.Results: An 85-year-old woman with no history of thyroid disease presented with severe obtundation and altered mental status. Laboratory testing documented elevated free thyroxine and free triiodothyronine concentrations and a suppressed thyrotropin concentration. Thyroid antibodies were absent. A radioactive iodine study revealed severely diminished uptake, suggestive of thyroiditis. After a short course of steroids, the patient's mental status returned to baseline. Follow-up laboratory testing showed normalizing thyroid function.Conclusion: Even in the absence of a history of thyroid disease, we recommend considering thyroid dysfunction in the differential diagnosis of patients who present with altered mental status, particularly in the elderly population.",

author = "Carluccio, {Alessia L.} and Sundaram, {Nina K.} and Robert Yanagisawa and Tomer, {Yaron T.}",

year = "2012",

month = sep,

day = "1",

doi = "10.4158/EP11373.CR",

language = "English (US)",

volume = "18",

pages = "e127--e129",

journal = "Endocrine Practice",

issn = "1530-891X",

publisher = "American Association of Clinical Endocrinology",

number = "5",

}

TY - JOUR

T1 - Apatjetoc thyrotoxicosis secondary to atypical subacute thyroiditis

AU - Carluccio, Alessia L.

AU - Sundaram, Nina K.

AU - Yanagisawa, Robert

AU - Tomer, Yaron T.

PY - 2012/9/1

Y1 - 2012/9/1

N2 - Objective: To report a case of apathetic thyrotoxicosis with an etiology of subacute thyroiditis.Methods: We describe the patient's clinical findings, laboratory findings, and clinical course.Results: An 85-year-old woman with no history of thyroid disease presented with severe obtundation and altered mental status. Laboratory testing documented elevated free thyroxine and free triiodothyronine concentrations and a suppressed thyrotropin concentration. Thyroid antibodies were absent. A radioactive iodine study revealed severely diminished uptake, suggestive of thyroiditis. After a short course of steroids, the patient's mental status returned to baseline. Follow-up laboratory testing showed normalizing thyroid function.Conclusion: Even in the absence of a history of thyroid disease, we recommend considering thyroid dysfunction in the differential diagnosis of patients who present with altered mental status, particularly in the elderly population.

AB - Objective: To report a case of apathetic thyrotoxicosis with an etiology of subacute thyroiditis.Methods: We describe the patient's clinical findings, laboratory findings, and clinical course.Results: An 85-year-old woman with no history of thyroid disease presented with severe obtundation and altered mental status. Laboratory testing documented elevated free thyroxine and free triiodothyronine concentrations and a suppressed thyrotropin concentration. Thyroid antibodies were absent. A radioactive iodine study revealed severely diminished uptake, suggestive of thyroiditis. After a short course of steroids, the patient's mental status returned to baseline. Follow-up laboratory testing showed normalizing thyroid function.Conclusion: Even in the absence of a history of thyroid disease, we recommend considering thyroid dysfunction in the differential diagnosis of patients who present with altered mental status, particularly in the elderly population.

UR - http://www.scopus.com/inward/record.url?scp=84867338400&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867338400&partnerID=8YFLogxK

U2 - 10.4158/EP11373.CR

DO - 10.4158/EP11373.CR

M3 - Article

C2 - 22548945

AN - SCOPUS:84867338400

SN - 1530-891X

VL - 18

SP - e127-e129

JO - Endocrine Practice

JF - Endocrine Practice

IS - 5

ER -

Apatjetoc thyrotoxicosis secondary to atypical subacute thyroiditis

Abstract

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this