Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc |
Journal website http://www.jofem.org |
Case Report
Volume 6, Number 2, April 2016, pages 59-63
A Case of Thyroid Crisis With Worsening Jaundice Despite Improvements in Heart Failure
Figures
Table
TgAb: anti-thyroglobulin antibody; TPOAb: anti-thyroid peroxidase antibody; TRAb: TSH receptor antibody; TSAb: thyroid-stimulating antibody; Fib: fibrinogen. | |
Urinalysis | |
Protein | 2+ |
Glucose | - |
Ketone bodies | - |
Bilirubin | 1+ |
Blood cell count | |
WBC | 4,500/μL |
RBC | 352 × 104/μL |
Hb | 9.7 g/dL |
Plt | 10.6 × 104/μL |
Serological test | |
CRP | 0.41 mg/dL |
HBs Ag | - |
HCV Ab | - |
Blood chemistry | |
T-bil | 4.9 mg/dL |
AST | 32 U/L |
ALT | 23 U/L |
LDH | 245 U/L |
ALP | 779 U/L |
γ-GTP | 54 U/L |
CK | 95 U/L |
T-cho | 78 mg/dL |
TG | 37 mg/dL |
TP | 7.5 g/dL |
Alb | 2.3 g/dL |
BUN | 13.7 mg/dL |
Cr | 0.35 mg/dL |
Na | 138 mEq/L |
K | 4.2 mEq/L |
Cl | 105 mEq/L |
Glucose | 104 mg/dL |
HbA1c | 5.2% |
Endocrine examination | |
Free T3 | 17.2 pg/mL |
Free T4 | 7.0 ng/dL |
TSH | 0.003 μIU/mL |
TSAb | 330% |
TRAb | 7.1 IU/L |
TPOAb | 180 IU/mL |
TgAb | 104 IU/mL |
ACTH | 254 pg/mL |
Cortisol | 17.7 μg/dL |
BNP | 836 pg/mL |
Hemostatic test | |
PT | > 120 s |
PT% | < 5.0% |
Fib | 107 mg/dL |
ATIII | 22.3% |
FDP | 12.3 μg/mL |
D-dimer | 4.8 μg/mL |