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CC BY-NC-ND 4.0 · Journal of Diabetes and Endocrine Practice 2022; 05(02): 083-086
DOI: 10.1055/s-0042-1749074
Case Report

Thyroid Storm Presenting with Isolated Acute Bulbar Myopathy: A Case Report and Literature Review

Asma AlNeyadi
1   Internal Medicine Department, Tawam Hospital, Al Ain, United Arab Emirates
,
Manal AlKhanbashi
1   Internal Medicine Department, Tawam Hospital, Al Ain, United Arab Emirates
,
Fatima AlKaabi
2   Department of Endocrinology, Tawam Hospital, Al Ain, United Arab Emirates
,
Mohamed Ismail
2   Department of Endocrinology, Tawam Hospital, Al Ain, United Arab Emirates
› Author Affiliations Funding and Sponsorship None.
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Abstract

While proximal skeletal muscle myopathy is a frequently reported complication of thyrotoxicosis, acute bulbar thyrotoxic myopathy is rare especially in absence of other forms of myopathy. In this report, we present a case of 31 years old male presenting with thyrotoxicosis and aspiration pneumonia following weeks of experiencing dysphagia and hoarseness of voice. Labs confirmed Graves' disease and other causes of bulbar myopathy like Myasthenia gravis was ruled out. He was started on thyroid treatment and showed remarkable improvement of dysphagia over 15 days. Based on this, we conclude that isolated bulbar myopathy in hyperthyroidism should be considered in patients presenting with dysphagia and dysphonia in absence of other possible neurological causes.

Keywords

bulbar myopathy - Graves' disease - thyrotoxic myopathy

Authors' Contribution

All authors critically revised the report, commented on the drafts of the manuscript, and approved the final report.


Compliance with Ethical Principles

We have obtained informed consent from the patient for publication of this case report.




Publication History

Article published online:
16 June 2022

© 2022. Gulf Association of Endocrinology and Diabetes (GAED). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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