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Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas 75235-9063, USA.
Thyroid storm (thyroid crisis) is a rare and serious complication of thyrotoxicosis with a significant mortality rate if left untreated. Early recognition of the syndrome with a thorough history and physical examination is therefore essential. The exact mechanism for this decompensation is unknown; however, many physiologic stressors can precipitate the crisis. This report describes an unusual case of a previously unrecognized thyrotoxicosis developing into a storm in a pediatric patient manifesting as refractory shock.
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