<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0026-1742</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina (México)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Fac. Med. (Méx.)]]></abbrev-journal-title>
<issn>0026-1742</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0026-17422017000400027</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tormenta tiroidea, una emergencia endócrina. Presentación de un caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Thyroid storm, an endocrine emergency. Case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mercado Cruz]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Cubría]]></surname>
<given-names><![CDATA[Cristian Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arellano Tejeda]]></surname>
<given-names><![CDATA[Anel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Huerta]]></surname>
<given-names><![CDATA[Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Xoco Servicio de Urgencias ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UNAM Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Xoco Servicio de Imagenología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Regional No. 1 &#8220;Dr. Carlos Mac Gregor Sánchez Navarro" Servicio de Urgencias ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>60</volume>
<numero>4</numero>
<fpage>27</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0026-17422017000400027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0026-17422017000400027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0026-17422017000400027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La tormenta tiroidea es un estado crítico y poco frecuente que condiciona la disfunción de multiples órganos por el efecto del exceso de las hormonas tiroideas, esta disfunción endocrina tiene una elevada mortalidad y genera manifestaciones típicas como la taquicardia, fiebre, alteraciones gastrointestinales, cardiovasculares y del sistema nervioso central. El diagnóstico es fundamentalmente clínico y puede apoyarse por la escala de Burch y Wartofsky. Las concentraciones séricas de las hormonas tiroideas no tienen correlación con la severidad de los síntomas, pero su medición es útil para confirmarei diagnóstico. Otras pruebas que pueden ayudar a complementar el diagnóstico son: el ultrasonido de tiroides, la obtención de marcadores cardiacos y la valoración de la función hepática y renal. Usualmente se identifica algún factor que desencadena la exacerbación de la tirotoxicosis, aunque en casos excepcionales, la tormenta tiroidea también puede ser la manifestación inicial de alguna patología de tiroides. Las estrategias terapéuticas están encaminadas a inhibir la síntesis y la liberación de hormonas tiroideas, así como a reducir la concentración y los efectos periféricos de éstas, sin olvidar el tratamiento del factor desencadenante.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The thyroid storm is a critical and rare disease, which conditions the dysfunction of multiple organs due to the excessive effect of thyroid hormones. This endocrine dysfunction has a high mortality and generates typical manifestations such as tachycardia, fever, gastrointestinal alterations, and cardiovascular and neurological disorders. The diagnosis is primarily clinical andean be supported by the scale of "Burch and Wartofsky". Serum concentrations of thyroid hormones are not correlated with the severity of the symptoms, but their assessment is useful to confirm the diagnosis. Other tests that may help complement the diagnosis are thyroid ultrasound, cardiac markers, and assessment of liver and kidney function. It is usually possible to identify a triggering factor, although in exceptional cases, the thyroid storm may also be the initial manifestation of some thyroid pathology. Therapeutic strategies are aimed at inhibiting the synthesis and the release of thyroid hormones as well as reducing their concentration and peripheral effects, without forgetting the treatment of the triggering factor.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tormenta tiroidea]]></kwd>
<kwd lng="es"><![CDATA[tirotoxicosis,hipertiroidismo]]></kwd>
<kwd lng="en"><![CDATA[Thyroid storm]]></kwd>
<kwd lng="en"><![CDATA[thyrotoxicosis]]></kwd>
<kwd lng="en"><![CDATA[hyperthyroidism]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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