Legal medicine (Tokyo, Japan) · 2019
An autopsy case of thyroid storm associated with chronic lymphocytic thyroiditis.
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Takahashi Motonori, Kondo Takeshi, Yamasaki Gentaro, Sugimoto Marie, Kuse Azumi, Morichika Mai, Nakagawa Kanako, Ueno Yasuhiro
Аннотация
A Japanese woman in her 30s was found dead on a mattress. She had had fever, cough, and dyspnea for about 2 weeks. Gross examination at autopsy revealed slight enlargement of the thyroid gland and histopathological examination resulted in a diagnosis of chronic lymphocytic thyroiditis. The concentration of triiodothyronine in the cadaveric blood was extraordinarily high, whereas that of thyroid stimulating hormone was below the detection limit. Autoimmune antibodies against thyroid tissue were positive. The cause of death was assumed to be congestive heart failure caused by thyroid storm associated with chronic lymphocytic thyroiditis. Systemic histopathological examination of tissues and postmortem biochemistry can enable a diagnosis in medicolegal autopsies.