Clinical Practice and Cases in Emergency Medicine (Nov 2019)
Gestational Trophoblastic Disease-induced Thyroid Storm
Abstract
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.