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Journal List > Endocrinol Metab > v.27(1) > 1085990

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Lee, Park, Yu, Jin, Park, Baek, and Park: A Case of Simultaneous Presentation of Thyroid Crisis and Diabetic Ketoacidosis
Case Report
Endocrinology and Metabolism

Endocrinology and Metabolism 2012; 27(1): 63-67.

Published online: 21 March 2012

DOI: https://doi.org/10.3803/EnM.2012.27.1.63

A Case of Simultaneous Presentation of Thyroid Crisis and Diabetic Ketoacidosis

Kyung Ae Lee1, 2, Kyung Taek Park1, 2, Hea Min Yu1, 2, Heung Yong Jin1, 2, Ji Hyun Park1, 2, Hong Sun Baek1, 2, Tae Sun Park1, 2

1Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.

2Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.

Corresponding author: Tae Sun Park. Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, 20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Korea. Tel: +82-63-250-1794, Fax: +82-63-254-1609, pts@chonbuk.ac.kr

Received 14 April 2011       Accepted 15 September 2011

Copyright © 2012 Korean Endocrine Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Two important endocrine emergencies, thyroid crisis and diabetic ketoacidosis (DKA), are uncommon when presented together, but pose serious complications. Without appropriate management, they may result in high mortality. Although several cases of simultaneous presentation of thyroid crisis and DKA have been reported, it is a clinically unusual situation and remains a diagnostic and management challenge in clinical practice. We report rare case with simultaneous presentation of thyroid crisis and DKA without previous warning symptoms. A 23-year-old-woman was brought to the emergency department presenting with acute abdominal pain for one day. She was healthy and there was no personal history of diabetes or thyroid disease. Through careful physical examination and laboratory tests, the patient was diagnosed with thyroid crisis combined with DKA. Concomitance of these two endocrine emergencies led to sudden cardiac arrest, but she was successfully resuscitated. This emphasizes the importance of early recognition and prompt management when the two diseases are presented concomitantly.

Keywords: Cardiac arrest, Diabetic ketoacidosis, Thyroid crisis

Figures and Tables

Table 1
Comparisons to the literature review patients
enm-27-63-i001

C.C, chief complaint; CNS, central nervous system; DKA, diabetic ketoacidosis; HF, heart failure.

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