A Case of Graves Disease Complicated With Thyroid Storm and Acute Hepatic Failure

Akinori Watanabe, Hisashi Hidaka, Tsutomu Minamino, Yoshiaki Tanaka, Juichi Takada, Yusuke Okuwaki, Takahide Nakazawa, Akitaka Shibuya, Kento Nakatani, Makoto Ohbu, Wasaburo Koizumi


A 44-year-old man was transferred to our hospital because of deterioration of liver function. He was diagnosed as having Graves disease, congestive heart failure and cholestatic liver failure, and started treatment with oral iodine, thiamazole, diuretics and beta-blockers. The patients condition was complicated with thyroid storm and spontaneous bacterial peritonitis (SBP). But the treatment for Graves' disease and SBP quickly cured the thyroid storm. Along with the improvement of the hyperthyroidism, the liver function also improved rapidly. We experienced a case of liver dysfunction that was caused by not treating Graves disease. The present case suggested the importance of including Graves' disease in the differential diagnoses in cases of liver dysfunction.

J Med Cases. 2014;5(5):273-278
doi: https://doi.org/10.14740/jmc1647w



Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.