| ABSTRACT |
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| Year : 2009 | Volume
: 6
| Issue : 2 | Page : 59 |
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Massive dosage of l-thyroxine ingestion: Case report
V Arya1, RC Mishra2
1 Center for Endocrine Disease & Diabetes, Ahmedabad, India
2 Shalby Hospital, Ahmedabad, India
Correspondence Address:
V Arya
Center for Endocrine Disease & Diabetes, Ahmedabad
India
 Source of Support: None, Conflict of Interest: None  | Check |
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Overtreatment with L-thyroxine causes deleterious effect on health. There is lack of data regarding management of massive thyroxine overdosage. We report a case of a case of massive L-thyroxine ingestion leading to factitious thyrotoxicosis. A 34 year old female, known case of hypothyroidism on L-thyroxine for past few years presented with history of ingestion of 100 tablets of L-thyroxine 100 meg. She came to hospital after 8 hours of drug ingestion. She was delirious and had severe tachycardia on presentation. Her pulses were feeble and her BP was 90/60 mm of Hg. She was admitted in critical care unit. Serum Thyroxine was > 30 mcg/dL and S. K+ was 3.4 mmol/L. She was treated conservatively with IV fluids, steroid, potassium replacement and beta blockers. She was discharged after 7 days of hospitalization. Her T 3 /T 4 levels normalized on Day 14. |
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