Clinical Practice and Cases in Emergency Medicine (Nov 2019)

Gestational Trophoblastic Disease-induced Thyroid Storm

  • Carly Blick,
  • Kraftin E. Schreyer

DOI
https://doi.org/10.5811/cpcem.2019.9.43656
Journal volume & issue
Vol. 3, no. 4

Abstract

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In the United States, gestational trophoblastic diseases (GTD), including molar pregnancies, occur in 121 out of 100,000 pregnancies. 1 Many patients with GTD may develop hyperthyroidism. GTD-induced thyroid storm is a rare but life-threatening complication of GTD. 2 Once patients are hemodynamically stable, the mainstay of definitive treatment is evacuation of the mole. 3 We present a case of molar pregnancy-induced thyroid storm presenting as vaginal bleeding, fever, and tachycardia.