Gebeyaw Addis Bezie, Simeneh Kassa Kebede, Gebremichael Emiru Kebede, Kibret Enyew Belay
JCEM Case Reports, Volume 3, Issue 9, September 2025, luaf167
https://doi.org/10.1210/jcemcr/luaf167
Thyroid storm is a life-threatening exacerbation of hyperthyroidism, marked by a sudden surge in thyroid hormone levels that can lead to multiorgan dysfunction and death. Common triggers include medication nonadherence, infections, radioiodine therapy, iodinated contrast, labor, surgery, and trauma. We report a rare case of thyroid storm precipitated by fine-needle aspiration. The patient was successfully managed medically and later underwent surgery after normalization of thyroid function. Clinicians should exercise caution when performing fine-needle aspiration in thyrotoxic patients. It should be performed only in a limited number of cases where there is clinical or ultrasound suspicion of malignancy and after thyroid function tests have normalized.
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