Japan Researchers Propose Guidelines for the Management of Thyroid Storm

New Rochelle, NY, in Japan researchers developed with a mortality rate estimated at 10%, the life-threatening condition known as thyroid storm (TS) demands rapid diagnosis and treatment and can benefit by new evidence-based guidelines for TS.

The article entitled “Thyroid Storm: A Japanese Perspective” is a part of a special section on Japanese Research conducted by Guest Editor Yoshiharu Murata, Nagoya University, Japan, in the January 2018 issue of Thyroid, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers  and the official journal of the American Thyroid Association (ATA). The article is available free on the Thyroid site.

In the article, author Takashi Akamizu, Wakayama Medical University, Japan, presents updated diagnostic criteria, broadly revised patient management and treatment guidelines, and newly developed algorithms based on data gathered on patients with TS from hospitals all through Japan and from the medicinal literature.

The most widely common cause of death from thyroid storm was multiple organ failures, followed by congestive heart failure, respiratory failure, and arrhythmia.

Also identified are so far unanswered clinical questions and the future investigations expected to better understand TS and its results and prognosis.

Peter A. Kopp, MD, Editor-in-Chief of Thyroid and Professor of Medicine, Division of Endocrinology, Metabolism, and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL says, “The meaning of TS is regularly to somewhat vague, and many reports are of an anecdotal nature. The endeavors by our Japanese associates to better characterize the diagnostic criteria and management recommendations are, hence, profoundly welcome”.

“The proposed structure will serve in as a solid foundation for future research and reflection about this challenging clinical element.”


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