TY - JOUR AU - Cheah, Jean Mun AU - Ng, Danish AU - Low, Ming Yong AU - Foo, Siew Hui PY - 2019/11/26 Y2 - 2024/03/28 TI - Weathering the Crisis: A Case of Thyroid Crisis with Propranolol-Induced Circulatory Collapse Successfully Treated with Therapeutic Plasma Exchange JF - Journal of the ASEAN Federation of Endocrine Societies JA - J ASEAN Fed Endocr Soc VL - 34 IS - 2 SE - Case Reports DO - 10.15605/jafes.034.02.12 UR - https://asean-endocrinejournal.org/index.php/JAFES/article/view/559 SP - 206-209 AB - <p style="text-align: justify;">Thyroid crisis is a life-threatening form of thyrotoxicosis characterized by multi-system dysfunction. Therapeutic plasma exchange has been reported to be effective in removing excessive circulating thyroid hormones. We present a 46-year-old female with recently diagnosed Graves’ disease associated with thyrotoxic cardiomyopathy admitted for thyroid crisis complicated by propranolol-induced circulatory collapse, acute kidney injury and ischemic hepatitis. The tachyarrhythmia was refractory to conventional therapy. Initiation of TPE resulted in rapid clinical and biochemical stabilization.</p> ER -