What can cause thyroid storm?

Causes. Thyroid storm occurs due to a major stress such as trauma, heart attack, or infection in people with uncontrolled hyperthyroidism. In rare cases, thyroid storm can be caused by treatment of hyperthyroidism with radioactive iodine therapy for Graves disease.

What are the signs of a thyroid storm?

Symptoms of thyroid storm include:

  • Feeling extremely irritable or grumpy.
  • High systolic blood pressure, low diastolic blood pressure, and fast heartbeat.
  • Nausea, vomiting, or diarrhea.
  • High fever.
  • Shock and delirium.
  • Feeling confused.
  • Feeling sleepy.
  • Yellow skin or eyes.

Does thyroid storm come on suddenly?

A thyroid storm can be brought on by a number of ailments. One of them, Graves’ disease, causes the thyroid to overproduce hormones (hyperthyroidism). When it happens suddenly, you can have a thyroid storm. It can come on within hours and may require immediate hospitalization.

How do you calm a thyroid storm?

Treating this condition

Treatment will begin as soon as thyroid storm is suspected — usually before lab results are ready. Antithyroid medication like propylthiouracil (also called PTU) or methimazole (Tapazole) will be given to reduce the production of these hormones by the thyroid.

Can anxiety cause a thyroid storm?

It’s thought that physical or mental stress can lead to thyroid storm because stress causes high levels of certain hormones to be released into the bloodstream.

Is thyroid storm fatal?

Thyroid storm is an acute, life-threatening emergency. If untreated, thyroid storm is almost invariably fatal in adults (90% mortality rate) and is likely to cause a similarly severe outcome in children, although the condition is so rare in children that these data are not available.

How common is a thyroid storm?

Thyroid storm is rare. Its incidence in the United States is between 5.7 and 7.6 per one million people. However, thyroid storm can lead to acute heart failure and a buildup of fluid in the lungs. When it does occur, it can be life-threatening in around 10–25 percent of people with the condition.

Which patient is most at risk for thyroid storm?


  • Thyroid storm may occur at any age but is most common in those in their third through sixth decades of life.
  • Graves disease predominantly affects those aged 20-40 years.
  • The prevalence of toxic multinodular goiter increases with age and becomes the primary cause of hyperthyroidism in elderly persons.

Can hypothyroidism cause a thyroid storm?

Both the states of low thyroid hormone concentrations (hypothyroidism) and thyroid hormone excess thyrotoxicosis) can be transient or permanent. The decompensated, severe forms of hypothyroidism and hyperthyroidism, termed myxedema coma and thyroid storm, are associated with increased morbidity and mortality.

Is thyroid storm the same as thyrotoxicosis?

Thyrotoxicosis is a common endocrine condition that may be secondary to a number of underlying processes. Thyroid storm (also known as thyroid or thyrotoxic crisis) represents the severe end of the spectrum of thyrotoxicosis and is characterized by compromised organ function.

What emotion is connected to the thyroid?

Yes, thyroid disease can affect your mood — primarily causing either anxiety or depression. Generally, the more severe the thyroid disease, the more severe the mood changes.

Can thyroid cause panic attacks?

Hyperthyroid is directly linked to panic attacks. Panic attacks are usually considered a symptom of this type of thyroid disease. An overactive thyroid can cause changes to brain chemistry, which might lead to anxiety or panic attacks.