Friday, July 27, 2018

Thyroid storm and calcium metabolism

Q: Thyroid storm is usually associated with? (select one)

A) Hypocalcemia
B) Hypercalcemia

Answer: B

Though not diagnostic but various biochemical abnormalities are supportive of suspected thyroid storm in patients with suppressed TSH and elevated T3 or/and T4. It includes hypercalcemia, abnormal liver enzymes, hyperglycemia, leukocytosis, or leukopenia. Hypercalcemia, as expected, is from hemoconcentration and increased bone resorption.



Nayak B, Burman K. Thyrotoxicosis and thyroid storm. Endocrinol Metab Clin North Am 2006; 35:663.

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