Tormenta tiroidea: abordaje diagnóstico y terapéutico
| datacite.rights | http://purl.org/coar/access_right/c_abf2 | |
| dc.contributor.author | Correa Guerrero, José | |
| dc.contributor.author | Corrales Santander, Hugo | |
| dc.contributor.author | Yepes Caro, Jorge | |
| dc.contributor.author | Bello Simanca, Jesús | |
| dc.contributor.author | Rodríguez Arrieta, Luis | |
| dc.contributor.author | Castellanos Pinedo, Alejandro | |
| dc.contributor.author | Rodríguez Garizabalo, Elguis | |
| dc.contributor.author | Dueñas Castell, Carmelo | |
| dc.date.accessioned | 2026-02-02T15:23:20Z | |
| dc.date.available | 2026-02-02T15:23:20Z | |
| dc.date.issued | 2025 | |
| dc.description.abstract | La tormenta tiroidea (TT) es una patología infrecuente, pero potencialmente mortal si no se detecta y trata oportunamente. Se caracteriza por manifestaciones clínicas graves a nivel del sistema nervioso central, cardiovascular y gastrointestinal, asociado a niveles elevados de triyodotironina (T3) libre y tiroxina (T4) libre. Las infecciones y/o el abandono del tratamiento son los desencadenantes más frecuentes. Identificar el factor desencadenante, reducir los niveles circulantes de hormonas tiroideas, y admitir a unidad de cuidado intensivo se convierten en la piedra angular del tratamiento. En la presente revisión, basados en un escenario clínico, proporcionaremos información con respecto al abordaje diagnóstico y terapéutico de una TT. © 2024 Asociacion Colombiana de Medicina CrÍtica y Cuidado lntensivo. Publicado por Elsevier España, S.L.U. Se reservan todos los derechos, incluidos los de minería de texto y datos, entrenamiento de IA y tecnologías similares. | spa |
| dc.description.abstract | Thyroid storm (TT) is a rare but potentially fatal condition if not detected and treated promptly. It is characterized by severe clinical manifestations at the level of the central nervous system, cardiovascular system, and gastrointestinal system, associated with elevated levels of free triiodothyronine (T3) and free thyroxine (T4). Infections and/or treatment discontinuation | eng |
| dc.identifier.citation | J. Correa-Guerrero, H. Corrales Santander, J. Yepes Caro et al., Tormenta tiroidea: abordaje diagnóstico y terapéutico, Acta Colombiana de Cuidado Intensivo, https://doi.org/10.1016/j.acci.2024.10.010 | |
| dc.identifier.doi | https://doi.org/10.1016/j.acci.2024.10.010 | |
| dc.identifier.issn | 0122-7262 (Electrónico) | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/17318 | |
| dc.identifier.url | https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0122726224001083?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0122726224001083%3Fshowall%3Dtrue&referrer= | |
| dc.language.iso | spa | |
| dc.publisher | Asociación Colombiana de Medicina Crítica y Cuidado lntensivo | spa |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | eng |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.source | Acta Colombiana de Cuidado Intensivo | spa |
| dc.source | Vol. 25 No. 1 Año 2025 | spa |
| dc.subject | Tormenta tiroidea | spa |
| dc.subject | Tirotoxicosis | spa |
| dc.subject | Hipertiroidismo | spa |
| dc.subject | Emergencia endocrina | spa |
| dc.subject | Terapia antitiroidea | spa |
| dc.subject.keywords | Thyroid storm | eng |
| dc.subject.keywords | Thyrotoxicosis | eng |
| dc.subject.keywords | Hyperthyroidism | eng |
| dc.subject.keywords | Endocrine emergency | eng |
| dc.title | Tormenta tiroidea: abordaje diagnóstico y terapéutico | spa |
| dc.type.driver | info:eu-repo/semantics/article | |
| dc.type.spa | Artículo científico | |
| dcterms.references | Chiha M, Samarasinghe S, Kabaker AS. Thyroid Storm: An Updated Review. J Intensive Care Med. 2015;30:131---40, http://dx.doi.org/10.1177/0885066613498053. | eng |
| dcterms.references | De Almeida R, McCalmon S, Cabandugama PK. Clinical Review and Update on the Management of Thyroid Storm. Mo Med. 2022;119:366---71. | eng |
| dcterms.references | Galindo RJ, Hurtado CR, Pasquel FJ, García Tome R, Peng L, Umpierrez GE. National Trends in Incidence, Mortality, and Clinical Outcomes of Patients Hospitalized for Thyrotoxicosis With and Without Thyroid Storm in the United States, 2004- 2013. Thyroid. 2019;29:36---43, http://dx.doi.org/10.1089/ thy.2018.0275. | eng |
| dcterms.references | Akamizu T, Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, et al. Diagnostic Criteria, Clinical Features, and Incidence of Thyroid Storm Based on Nationwide Surveys. Thyroid. 2012;22:661---79, http://dx.doi.org/10.1089/thy.2011.0334. | eng |
| dcterms.references | Ono Y, Ono S, Yasunaga H, Matsui H, Fushimi K, Tanaka Y. Factors Associated With Mortality of Thyroid Storm: Analysis Using a National Inpatient Database in Japan. Medicine. 2016;95:e2848, http://dx.doi.org/10.1097/MD.0000000000002848. | eng |
| dcterms.references | Ylli D, Klubo-Gwiezdzinska J, Wartofsky L. Thyroid emergencies. Pol Arch Intern Med. 2019, http://dx.doi.org/ 10.20452/pamw.14876. | eng |
| dcterms.references | Akamizu T. Thyroid Storm: A Japanese Perspective. Thyroid. 2018;28:32---40, http://dx.doi.org/10.1089/thy.2017.0243. | eng |
| dcterms.references | Fliers E, Bianco AC, Langouche L, Boelen A. Thyroid function in critically ill patients. Lancet Diabet Endocrinol. 2015;3:816---25, http://dx.doi.org/10.1016/S2213-8587(15)00225-9. | eng |
| dcterms.references | Brooks MH. Free Thyroxine Concentrations in Thyroid Storm. Ann Intern Med. 1980;93:694, http://dx.doi.org/ 10.7326/0003-4819-93-5-694. | eng |
| dcterms.references | Silva JE, Bianco SDC. Thyroid---Adrenergic Interactions: Physiological and Clinical Implications. Thyroid. 2008;18:157---65, http://dx.doi.org/10.1089/thy.2007.0252. | eng |
| dcterms.references | Wartofsky L, Klubo-Gwiezdzinska J. Thyroid Storm (Thyrotoxic Crisis). En: Luster M, Duntas LH, Wartofsky L, editores. The Thyroid and Its Diseases. Springer International Publishing; 2019. p. 357---66, http://dx.doi.org/10.1007/978-3-319-72102-6 25. | eng |
| dcterms.references | Binod P, Wajeeha A, Kamal B. Thyroid Storm. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan [consultado 5 Oct 2024]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK448095/. | eng |
| dcterms.references | Swee DS, Chng CL, Lim A. Clinical Characteristics and Outcome of Thyroid Storm: A Case Series and Review of Neuropsychiatric Derangements in Thyrotoxicosis. Endocr Pract. 2015;21:182---9, http://dx.doi.org/10.4158/EP14023.OR. | eng |
| dcterms.references | Pumphrey T, Rizzo A. Thyroid Storm Unmasked: A Rare Case of Acute COVID-19-Induced Thyroid Storm. Cureus. 2023, http://dx.doi.org/10.7759/cureus.45906. | eng |
| dcterms.references | Eatz TA, Rios P, Penaherrera Oviedo CA, Lagari V. Thyroid storm triggered by thyroid nodule fine needle aspiration biopsy: a case report. AME Case Rep. 2024;8, http://dx.doi.org/10.21037/ acr-23-63, 15-15. | eng |
| dcterms.references | Lath D, Nandipati VS, Jebasingh F, Cherian KE, Kapoor N, Asha HS, et al. A Lower Prevalence of Central Nervous System and Higher Prevalence of Cardiac Symptoms Characterises Indian Patients with Thyrotoxic Storm: A Retrospective Analysis. Indian Journal of Endocrinology and Metabolism. 2024;28:302---7, http://dx.doi.org/10.4103/ijem.ijem 355 23. | eng |
| dcterms.references | Elendu C, Amaechi DC, Amaechi EC, Chima-Ogbuiyi NL, Afuh RN, Arrey Agbor DB, et al. Diagnostic criteria and scoring systems for thyroid storm: An evaluation of their utility --- comparative review. Medicine. 2024;103:e37396, http://dx.doi.org/ 10.1097/MD.0000000000037396. | eng |
| dcterms.references | Vadini V, Vasistha P, Shalit A, Maraka S. Thyroid storm in pregnancy: a review. Thyroid Res. 2024;17:2, http://dx.doi.org/ 10.1186/s13044-024-00190-y. | eng |
| dcterms.references | Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid. 2016;26:1343---421, http://dx.doi.org/10.1089/thy.2016.0229. | eng |
| dcterms.references | Satoh T, Isozaki O, Suzuki A, Wakino S, Iburi T, Tsuboi K, et al. 2016 Guidelines for the management of thyroid storm from The Japan Thyroid Association and Japan Endocrine Society (First edition): The Japan Thyroid Association and Japan Endocrine Society Taskforce Committee for the establishment of diagnostic criteria and nationwide surveys for thyroid storm [Opinion]. Endocr J. 2016;63:1025---64, http://dx.doi.org/10.1507/endocrj.EJ16-0336. | eng |
| dcterms.references | Kahaly GJ, Bartalena L, Hegedüs L, Leenhardt L, Poppe K, Pearce SH. 2018 European Thyroid Association Guideline for the Management of Graves’ Hyperthyroidism. Eur Thyroid J. 2018;7:167---86, http://dx.doi.org/10.1159/000490384. | eng |
| dcterms.references | Bourcier S, Coutrot M, Kimmoun A, Sonneville R, De Montmollin E, Persichini R, et al. Thyroid Storm in the ICU: A Retrospective Multicenter Study. Crit Care Med. 2020;48:83---90, http://dx.doi.org/10.1097/CCM.0000000000004078. | eng |
| dcterms.references | Farooqi S, Raj S, Koyfman A, Long B. High risk and low prevalence diseases: Thyroid storm. Am J Emerg Med. 2023;69:127---35, http://dx.doi.org/10.1016/j.ajem. 2023.03.035. | eng |
| dcterms.references | Nayak B, Burman K. Thyrotoxicosis and Thyroid Storm. Endocrinol Metab Clin North Am. 2006;35:663---86, http://dx.doi.org/10.1016/j.ecl.2006.09.008. | eng |
| dcterms.references | Wang R, Nelson JC, Wilcox RB. Salsalate and Salicylate Binding to and their Displacement of Thyroxine from Thyroxine-Binding Globulin, Transthyretin, and Albumin. Thyroid. 1999;9:359---64, http://dx.doi.org/10.1089/thy.1999.9.359. | eng |
| dcterms.references | Inman BL, Long B. Thyrotoxicosis. Emerg Med Clin North Am. 2023;41:759---74, http://dx.doi.org/10.1016/ j.emc.2023.06.005. | eng |
| dcterms.references | Idrose AM. Acute and emergency care for thyrotoxicosis and thyroid storm. Acute Med Surg. 2015;2:147---57, http://dx.doi.org/10.1002/ams2.104. | eng |
| dcterms.references | Villacís-Uyaguari C, Torres D. Tormenta tiroidea, una emergencia endocrina. Directrices actualizadas de su manejo. INSPILIP. 2023;7, http://dx.doi.org/10.31790/inspilip.v7i22.423. | spa |
| dcterms.references | Jacobi J. Management of Endocrine Emergencies in the ICU. J Pharm Pract. 2019;32:314---26, http://dx.doi.org/ 10.1177/0897190019834771. | eng |
| dcterms.references | Abuid J, Larsen PR. Triiodothyronine and Thyroxine in Hyperthyroidism. Comparison of the Acute Changes During Therapy With Antithyroid Agents. J Clin Invest. 1974;54:201---8, http://dx.doi.org/10.1172/JCI107744. | eng |
| dcterms.references | Furukawa Y, Tanaka K, Isozaki O, Suzuki A, Iburi T, Tsuboi K, et al. Prospective Multicenter Registry---Based Study on Thyroid Storm: The Guidelines for Management From Japan Are Useful. J Clin Endocrinol Metab. 2024:dgae124, http://dx.doi.org/10.1210/clinem/dgae124. | eng |
| dcterms.references | Isozaki O, Satoh T, Wakino S, Suzuki A, Iburi T, Tsuboi K, et al. Treatment and management of thyroid storm: analysis of the nationwide surveys: The taskforce committee of the Japan Thyroid Association and Japan Endocrine Society for the establishment of diagnostic criteria and nationwide surveys for thyroid storm. Clin Endocrinol. 2016;84:912---8, http://dx.doi.org/10.1111/cen.12949. | eng |
| dcterms.references | Nakamura H, Noh JY, Itoh K, Fukata S, Miyauchi A, Hamada N, et al. Comparison of Methimazole and Propylthiouracil in Patients with Hyperthyroidism Caused by Graves’ Disease. J Clin Endocrinol Metab. 2007;92:2157---62, http://dx.doi.org/10.1210/jc.2006-2135. | eng |
| dcterms.references | Nabil N, Miner DJ, Amatrudaf JM. Methimazole: An Alternative Route of Administration*. J Clin Endocrinol Metab. 1982;54:180---1, http://dx.doi.org/10.1210/jcem-54-1-180. | eng |
| dcterms.references | Abdi H, Amouzegar A, Azizi F. Antithyroid Drugs. Iran J Pharma Res. 2019;18 Supl. 1:e124684, http://dx.doi.org/ 10.22037/ijpr.2020.112892.14005. | eng |
| dcterms.references | Sato S, Noh JY, Sato S, Suzuki M, Yasuda S, Matsumoto M, et al. Comparison of Efficacy and Adverse Effects Between Methimazole 15 mg+Inorganic Iodine 38mg/Day and Methimazole 30mg/Day as Initial Therapy for Graves’ Disease Patients with Moderate to Severe Hyperthyroidism. Thyroid. 2015;25:43---50, http://dx.doi.org/10.1089/thy.2014.0084. | eng |
| dcterms.references | Takata K, Amino N, Kubota S, Sasaki I, Nishihara E, Kudo T, et al. Benefit of short-term iodide supplementation to antithyroid drug treatment of thyrotoxicosis due to Graves’ disease. Clin Endocrinol. 2010;72:845---50, http://dx.doi.org/10.1111/ j.1365-2265.2009.03745.x. | eng |
| dcterms.references | Kinoshita H, Yasuda M, Furumoto Y, Watanabe N, Horiuchi T, Murayama M, et al. Severe Duodenal Hemorrhage Induced by Lugol’s Solution Administered for Thyroid Crisis Treatment. Intern Med. 2010;49:759---61, http://dx.doi.org/10.2169/ internalmedicine.49.2831. | eng |
| dcterms.references | Myung Park J, Seok Lee I, Young Kang J, Nyol Paik C, Kyung Cho Y, Woo Kim S, et al. Acute esophageal and gastric injury: Complication of Lugol’s solution. Scand J Gastroenterol. 2007;42:135---7, http://dx.doi.org/10.1080/00365520600825141. | eng |
| dcterms.references | Hoogenberg K. Lithium as an Adjunct to Radioactive Iodine in Treatment-Resistant Graves Thyrotoxicosis. Ann Intern Med. 1998;129:670, http://dx.doi.org/10.7326/ 0003-4819-129-8-199810150-00025. | eng |
| dcterms.references | Tagami T, Yambe Y, Tanaka T, Tanaka T, Ogo A, Yoshizumi H, et al. Short-Term Effects of -adrenergic Antagonists and Methimazole in New-Onset Thyrotoxicosis Caused by Graves’ Disease. Intern Med. 2012;51:2285---90, http://dx.doi.org/10.2169/ internalmedicine.51.7302. | eng |
| dcterms.references | Chopra IJ, Williams DE, Orgiazzi J, Solomon DH. Opposite Effects of Dexamethasone on Serum Concentrations of 3, 3 ,5 -Triiodothyronine (Reverse T 3) and 3,3 ,5 -Triiodothyronine (T 3). J Clin Endocrinol Metab. 1975;41:911---20, http://dx.doi.org/10.1210/jcem-41-5-911. | eng |
| dcterms.references | Williams DE, Chopra IJ, Orgiazzi J, Solomon DH. Acute Effects of Corticosteroids on Thyroid Activity in Graves’ Disease. J Clin Endocrinol Metab. 1975;41:354---61, http://dx.doi.org/10.1210/jcem-41-2-354. | eng |
| dcterms.references | Senda A, Endo A, Tachimori H, Fushimi K, Otomo Y. Early administration of glucocorticoid for thyroid storm: analysis of a national administrative database. Crit Care. 2020;24:470, http://dx.doi.org/10.1186/s13054-020-03188-8. | eng |
| dcterms.references | Solomon BL, Wartofsky L, Burman KD. Adjunctive cholestyramine therapy for thyrotoxicosis*. Clin Endocrinol. 1993;38:39---43, http://dx.doi.org/10.1111/j.1365-2265. 1993.tb00970.x. | eng |
| dcterms.references | Kaykhaei MA, Shams M, Sadegholvad A, Dabbaghmanesh MH, Omrani GR. Low doses of cholestyramine in the treatment of hyperthyroidism. Endocrine. 2008;34:52---5, http://dx.doi.org/10.1007/s12020-008-9107-5. | eng |
| dcterms.references | Muller C, Perrin P, Faller B, Richter S, Chantrel F. Role of Plasma Exchange in the Thyroid Storm. Ther Apher Dial. 2011;15:522---31, http://dx.doi.org/10.1111/ j.1744-9987.2011.01003.x. | eng |
| dcterms.references | Vyas AA, Vyas P, Fillipon NL, Vijayakrishnan R, Trivedi N. Successful Treatment of Thyroid Storm with Plasmapheresis in a Patient with Methimazole-Induced Agranulocytosis. Endocr Pract. 2010;16:673---6, http://dx.doi.org/10.4158/EP09265.CR. | eng |
| dcterms.references | Simsir IY, Ozdemir M, Duman S, Erdogan M, Donmez A, Ozgen AG. Therapeutic plasmapheresis in thyrotoxic patients. Endocrine. 2018;62:144---8, http://dx.doi.org/10.1007/ s12020-018-1661-x. | eng |
| dcterms.references | Builes-Montano˜ CE, Rodriguez-Arrieta LA, Román-González A, Prieto-Saldarriaga C, Alvarez-Payares JC, Builes-Barrera CA, et al. Therapeutic plasmapheresis for the treatment of thyrotoxicosis: A retrospective multi-center study. J Clin Apher. 2021;36:759---65, http://dx.doi.org/10.1002/jca.21927. | eng |
| dcterms.references | Vinan-Vega M, Mantilla B, Jahan N, Peminda C, Nugent K, Lado-Abeal J, et al. Usefulness of plasmapheresis in patients with severe complicated thyrotoxicosis. Proc (Bayl Univ Med Cent). 2021;34:279---82, http://dx.doi.org/10.1080/ 08998280.2020.1852007. | eng |
| dcterms.references | Opalinska ´ M, Pantoflinski ´ J, Sokołowski G, Pach D, KosteckaMatyja M, Zabicka ˙ K, et al. Life-threatening amiodaroneinduced thyrotoxicosis --- Personalized approach to radical treatment. Heliyon. 2024;10:e34850, http://dx.doi.org/ 10.1016/j.heliyon.2024.e34850. | eng |
| dcterms.references | Seo GH, Kim TH, Chung JH. Antithyroid Drugs and Congenital Malformations: A Nationwide Korean Cohort Study. Ann Intern Med. 2018;168:405, http://dx.doi.org/10.7326/M17-1398. | eng |
| dcterms.references | Scholz GH, Hagemann E, Arkenau C, Engelmann L, Lamesch P, Schreiter D, et al. Is There a Place for Thyroidectomy in Older Patients with Thyrotoxic Storm and Cardiorespiratory Failure? Thyroid. 2003;13:933---40, http://dx.doi.org/ 10.1089/105072503322511337. | eng |
| dcterms.references | Sharma A, Stan MN. Thyrotoxicosis: Diagnosis and Management. Mayo Clin Proc. 2019;94:1048---64, http://dx.doi.org/10.1016/ j.mayocp.2018.10.011. | eng |
| dcterms.references | Erbil Y, Ozluk Y, Giris¸ M, Salmashoglu A, Issever H, Barbaros U, et al. Effect of Lugol Solution on Thyroid Gland Blood Flow and Microvessel Density in the Patients with Graves’ Disease. J Clin Endocrinol Metab. 2007;92:2182---9, http://dx.doi.org/10.1210/jc.2007-0229. | eng |
| dcterms.references | Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, et al. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017;27:315---89, http://dx.doi.org/10.1089/thy.2016.0457. | eng |
| dcterms.references | Emiliano AB, Governale L, Parks M, Cooper DS. Shifts in Propylthiouracil and Methimazole Prescribing Practices: Antithyroid Drug Use in the United States from 1991 to 2008. J Clin Endocrinol Metab. 2010;95:2227---33, http://dx.doi.org/ 10.1210/jc.2009-2752. | eng |
| dcterms.references | Carroll R, Matfin G. Review: Endocrine and metabolic emergencies: thyroid storm. Ther Advan Endocrinol Metab. 2010;1:139---45, http://dx.doi.org/10.1177/ 2042018810382481. | eng |
| oaire.version | info:eu-repo/semantics/publishedVersion | |
| sb.programa | Especialización en Medicina Interna | spa |
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