Pitfall of Thyroid Storm Score
The thyroid storm is an emergency characterized by multiple organ failure due to severe thyrotoxicosis that is often triggered by other diseases. The diagnosis of thyroid storm is made clinically in a severe thyrotoxic patient with evidence of systemic decompensation. The Burch–Wartofsky Point Scale...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Universitas Brawijaya
2023-05-01
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| Series: | Clinical and Research Journal in Internal Medicine |
| Subjects: | |
| Online Access: | https://crjim.ub.ac.id/index.php/crjim/article/view/122 |
| _version_ | 1797798145981153280 |
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| author | Muhammad Rakhman Rulli Rosandi |
| author_facet | Muhammad Rakhman Rulli Rosandi |
| author_sort | Muhammad Rakhman |
| collection | DOAJ |
| description | The thyroid storm is an emergency characterized by multiple organ failure due to severe thyrotoxicosis that is often triggered by other diseases. The diagnosis of thyroid storm is made clinically in a severe thyrotoxic patient with evidence of systemic decompensation. The Burch–Wartofsky Point Scale (BWPS) is a score that is widely used to diagnose thyroid storm, introduced by Burch and Wartofsky in 1993. In Burch–Wartofsky Point Scale, the thyroid storm diagnosis is made if there is clinically severe thyrotoxicosis with a score of 45 in a patient that has a previous history of elevated free fT3 (triiodothyronine) or fT4 (free thyroxine). But in a condition it cannot be distinguished whether a condition is caused by the effects of thyrotoxicosis or due to other diseases, then these symptoms are considered as a result of the effects of thyrotoxicosis. In the Burch–Wartofsky Point Scale, there is a pitfall. If we are accustomed to assuming a worsening of the condition in thyroid patients as a result of the effects of thyrotoxicosis, without trying to exclude the condition due to other conditions can lead to a misdiagnosis of thyroid storm. This article aims to remind us to be careful in applying diagnostic tools in diagnosing a thyroid storm. |
| first_indexed | 2024-03-13T03:59:08Z |
| format | Article |
| id | doaj.art-8bc665336d3043dd9a79deb1cd7b9149 |
| institution | Directory Open Access Journal |
| issn | 2723-5130 2723-5122 |
| language | English |
| last_indexed | 2024-03-13T03:59:08Z |
| publishDate | 2023-05-01 |
| publisher | Universitas Brawijaya |
| record_format | Article |
| series | Clinical and Research Journal in Internal Medicine |
| spelling | doaj.art-8bc665336d3043dd9a79deb1cd7b91492023-06-22T04:13:44ZengUniversitas BrawijayaClinical and Research Journal in Internal Medicine2723-51302723-51222023-05-014139740310.21776/ub.crjim.2023.004.01.672Pitfall of Thyroid Storm ScoreMuhammad Rakhmanhttps://orcid.org/0009-0006-2470-1671Rulli RosandiThe thyroid storm is an emergency characterized by multiple organ failure due to severe thyrotoxicosis that is often triggered by other diseases. The diagnosis of thyroid storm is made clinically in a severe thyrotoxic patient with evidence of systemic decompensation. The Burch–Wartofsky Point Scale (BWPS) is a score that is widely used to diagnose thyroid storm, introduced by Burch and Wartofsky in 1993. In Burch–Wartofsky Point Scale, the thyroid storm diagnosis is made if there is clinically severe thyrotoxicosis with a score of 45 in a patient that has a previous history of elevated free fT3 (triiodothyronine) or fT4 (free thyroxine). But in a condition it cannot be distinguished whether a condition is caused by the effects of thyrotoxicosis or due to other diseases, then these symptoms are considered as a result of the effects of thyrotoxicosis. In the Burch–Wartofsky Point Scale, there is a pitfall. If we are accustomed to assuming a worsening of the condition in thyroid patients as a result of the effects of thyrotoxicosis, without trying to exclude the condition due to other conditions can lead to a misdiagnosis of thyroid storm. This article aims to remind us to be careful in applying diagnostic tools in diagnosing a thyroid storm.https://crjim.ub.ac.id/index.php/crjim/article/view/122pitfallburch–wartofsky point scalethyroid storm |
| spellingShingle | Muhammad Rakhman Rulli Rosandi Pitfall of Thyroid Storm Score Clinical and Research Journal in Internal Medicine pitfall burch–wartofsky point scale thyroid storm |
| title | Pitfall of Thyroid Storm Score |
| title_full | Pitfall of Thyroid Storm Score |
| title_fullStr | Pitfall of Thyroid Storm Score |
| title_full_unstemmed | Pitfall of Thyroid Storm Score |
| title_short | Pitfall of Thyroid Storm Score |
| title_sort | pitfall of thyroid storm score |
| topic | pitfall burch–wartofsky point scale thyroid storm |
| url | https://crjim.ub.ac.id/index.php/crjim/article/view/122 |
| work_keys_str_mv | AT muhammadrakhman pitfallofthyroidstormscore AT rullirosandi pitfallofthyroidstormscore |