{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:49:01Z","timestamp":1747198141563,"version":"3.40.5"},"reference-count":9,"publisher":"Walter de Gruyter GmbH","issue":"0","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n This report presents a case of acute onset of chorea, concurrent Graves\u2019 disease, and acute rheumatic fever in an 8-year-old female patient.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n The child had intermittent involuntary movement of all extremities and both eyes for 4\u00a0days, with a previous history of increased appetite, weight lost, and heat intolerance over a period of two months. Physical examination revealed fever, tachycardia, exophthalmos, eyelid retraction, as well as diffused thyroid enlargement. Initial clinical features and thyroid function testing suggested a thyroid storm due to Graves\u2019 disease. Methimazole, propranolol, potassium iodide (SSKI), and dexamethasone were prescribed. Congestive heart failure developed after propranolol and cardiovascular re-evaluation and Revised Jones criteria suggested acute rheumatic fever. Chorea was successfully treated with pulse methylprednisolone.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n We reported Graves\u2019 disease patients with acute rheumatic fever simulating a thyroid storm. The underlying cardiac disease must be considered, especially where chorea and congestive heart failure are present.<\/jats:p>\n <\/jats:sec>","DOI":"10.1515\/jpem-2022-0522","type":"journal-article","created":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T14:32:33Z","timestamp":1681569153000},"source":"Crossref","is-referenced-by-count":0,"title":["Coexistence of Graves\u2019 disease with acute rheumatic fever treated as thyroid storm in young Thai patient"],"prefix":"10.1515","volume":"0","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9157-1180","authenticated-orcid":false,"given":"Witchuwan","family":"Onsoi","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, Faculty of Medicine , Chulalongkorn University , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khomsak","family":"Srilanchakon","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, Faculty of Medicine , Chulalongkorn University , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suphab","family":"Aroonparkmongkol","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, Faculty of Medicine , Chulalongkorn University , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vichit","family":"Supornsilchai","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, Faculty of Medicine , Chulalongkorn University , Bangkok , Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"2023041514322699510_j_jpem-2022-0522_ref_001","doi-asserted-by":"crossref","unstructured":"Pandey, R, Kumar, S, Kotwal, N. Thyroid storm: clinical manifestation, pathophysiology, and treatment [Internet]. IntechOpen; 2019 [cited 25 Sep 2021]. Available from: https:\/\/www.intechopen.com\/chapters\/70529; www.intechopen.com","DOI":"10.5772\/intechopen.89620"},{"key":"2023041514322699510_j_jpem-2022-0522_ref_002","doi-asserted-by":"crossref","unstructured":"Satoh, T, Isozaki, O, Suzuki, A, Wakino, S, Iburi, T, Tsuboi, K, et al.. 2016 Guidelines for the management of thyroid storm from the Japan thyroid association and Japan endocrine Society. Endocr J 2016; 63:1025\u201364. https:\/\/doi.org\/10.1507\/endocrj.ej16-0336.","DOI":"10.1507\/endocrj.EJ16-0336"},{"key":"2023041514322699510_j_jpem-2022-0522_ref_003","unstructured":"Chang, L-H. Thyrotoxicosis presenting as a movement disorder. Taiwan J Psychiatry 2007;21:225\u20139."},{"key":"2023041514322699510_j_jpem-2022-0522_ref_004","doi-asserted-by":"crossref","unstructured":"Arifi, B, Gupta, S, Sharma, S, Daraboina, A, Ahuja, S. A case report of chorea associated with hyperthyroidism. J Clin Diagn Res 2016;10:PL01. https:\/\/doi.org\/10.7860\/JCDR\/2016\/17299.7277.","DOI":"10.7860\/JCDR\/2016\/17299.7277"},{"key":"2023041514322699510_j_jpem-2022-0522_ref_005","doi-asserted-by":"crossref","unstructured":"Yu, J-H, Weng, Y-M. Acute chorea as a presentation of Graves disease: case report and review. Am J Emerg Med 2009;27:369.e1\u20133. https:\/\/doi.org\/10.1016\/j.ajem.2008.05.031.","DOI":"10.1016\/j.ajem.2008.05.031"},{"key":"2023041514322699510_j_jpem-2022-0522_ref_006","doi-asserted-by":"crossref","unstructured":"Weiner, SG, Normandin, PA. Sydenham chorea: a case report and review of the literature. Pediatr Emerg Care 2007;23:20\u20134. https:\/\/doi.org\/10.1097\/01.pec.0000248688.73562.52.","DOI":"10.1097\/01.pec.0000248688.73562.52"},{"key":"2023041514322699510_j_jpem-2022-0522_ref_007","doi-asserted-by":"crossref","unstructured":"Hakoshima, M, Yanai, H, Komatsuzaki, S, Kawaguchi, A, Hamasaki, H, Katsuyama, H. Streptococcal infection can Be the trigger for thyroid storm [letter]. J Clin Med Res 2019;11:383\u20134. https:\/\/doi.org\/10.14740\/jocmr3818.","DOI":"10.14740\/jocmr3818"},{"key":"2023041514322699510_j_jpem-2022-0522_ref_008","doi-asserted-by":"crossref","unstructured":"Vandamati, D, Tsai, SL. Simultaneous onset of autoimmune hyperthyroidism and rheumatic fever in an adolescent female- case report. US Endocrinol 2020;16:125\u20138.","DOI":"10.17925\/USE.2020.16.2.125"},{"key":"2023041514322699510_j_jpem-2022-0522_ref_009","doi-asserted-by":"crossref","unstructured":"Hanson, V, Khalid, SN, Ratmeyer, G, Sheikh, AB. Thyroid storm secondary to acute Streptococcus pyogenes pharyngitis. Proc (Bayl Univ Med Cent). 2022;35:691\u20132. https:\/\/doi.org\/10.1080\/08998280.2022.2077076.","DOI":"10.1080\/08998280.2022.2077076"}],"container-title":["Journal of Pediatric Endocrinology and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2022-0522\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2022-0522\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T14:32:41Z","timestamp":1681569161000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/jpem-2022-0522\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,17]]},"references-count":9,"journal-issue":{"issue":"0","published-online":{"date-parts":[[2023,4,17]]}},"alternative-id":["10.1515\/jpem-2022-0522"],"URL":"https:\/\/doi.org\/10.1515\/jpem-2022-0522","relation":{},"ISSN":["0334-018X","2191-0251"],"issn-type":[{"type":"print","value":"0334-018X"},{"type":"electronic","value":"2191-0251"}],"subject":[],"published":{"date-parts":[[2023,4,17]]}}}