Breaking the mold: atypical lactate and ketone elevations in thyroid storm

Thyroid storm is a life-threatening condition characterized by excessive thyroid hormone activity, potentially leading to multiorgan failure. This case report describes a 67-year-old male with an unusual presentation of thyroid storm: elevated lactate and ketone levels, and acute heart failure. It highlights the importance of recognizing and promptly treating atypical manifestations to prevent adverse outcomes.

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Publication Details

Journal
JCEM Case Reports
Published
2026-04-27
DOI
https://doi.org/10.1210/jcemcr/luag113
Primary Topic
Thyroid Disorders and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Breaking the mold: atypical lactate and ketone elevations in thyroid storm

Nudar Bhuiya, Ruba Riachy, B Kodali, Sapna Shah
JCEM Case Reports
Thyroid Disorders and Treatments
article

Breaking the mold: atypical lactate and ketone elevations in thyroid storm

Nudar Bhuiya, Ruba Riachy, B Kodali, Sapna Shah
article en

Abstract

Thyroid storm is a life-threatening condition characterized by excessive thyroid hormone activity, potentially leading to multiorgan failure. This case report describes a 67-year-old male with an unusual presentation of thyroid storm: elevated lactate and ketone levels, and acute heart failure. It highlights the importance of recognizing and promptly treating atypical manifestations to prevent adverse outcomes.

JCEM Case ReportsVol. 4(6)
MetroHealth Medical Center (US)
Openalex Percentile: Top 9%
Thyroid Disorders and Treatments
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Breaking the mold: atypical lactate and ketone elevations in thyroid storm — Nudar Bhuiya, Ruba Riachy, et al. · JCEM Case Reports (2026) | TGRS Research Map | TGRS