The transition from hyperthyroidism to<unk>  is typically triggered by a non-thyroidal insult including, but not limited to fever, sepsis, dehydration, myocardial infarction, and psychiatric diseases. Individuals are at higher risk of<unk>  if their hyperthyroidism is incompletely treated or if their anti-thyroid drugs are discontinued. Many of these individuals have underlying primary causes of hyperthyroidism (Graves disease, toxic multi-nodular goiter, solitary toxic adenoma). However,<unk>  can occur in individuals with unrecognized thyrotoxicosis experiencing non-thyroid surgery, labor, infection, or exposure to certain medications and radiocontrast dyes. +Precipitating factors Severe infection Diabetic ketoacidosis Hypoglycemia Thyroid surgery Non-thyroid surgery Parturition Struma ovarii Molar pregnancy Trauma (i.e. hip fracture) Burns Myocardial infarction Pulmonary embolism Stroke Heart failure Radioactive iodine treatment Medication side effect (anesthetics, salicylate, pseudoephedrine, amiodarone) Exposure to iodinated contrast Withdrawal of antithyroid treatment Emotional stress Intense exercise
Thyroid storm
Euthyroid sick syndrome
Adrenal crisis
Pseudo-Cushing's syndrome
Postpartum thyroiditis
Subacute thyroiditis
Cushing's syndrome
Drug-induced hyperthermia