PT  - JOURNAL ARTICLE
AU  - Eison De Guzman
AU  - Hira Shakeel
AU  - Rohit Jain
TI  - Thyrotoxicosis: a rare presentation of molar pregnancy
AID  - 10.1136/bcr-2021-242131
DP  - 2021 Jul 01
TA  - BMJ Case Reports
PG  - e242131
VI  - 14
IP  - 7
4099  - http://casereports.bmj.com/content/14/7/e242131.short
4100  - http://casereports.bmj.com/content/14/7/e242131.full
SO  - BMJ Case Reports2021 Jul 01; 14
AB  - A 49-year-old woman, G8P7, presented with 1 week of worsening vaginal bleeding and abdominal cramps in the setting of a recently discovered unplanned pregnancy. Vaginal ultrasound findings and a significantly elevated human chorionic gonadotropin (hCG) level were concerning for molar pregnancy. She developed signs of hyperthyroidism on the night of admission, for which the endocrinology team was consulted. Laboratory data were consistent with hyperthyroidism. The patient was believed to have thyrotoxicosis secondary to molar pregnancy with concern for impending thyroid storm. Her mental health disorder and bacteraemia made taking care of her further challenging. She was started on a beta-blocker, antithyroid agent and intravenous corticosteroids. She underwent an uncomplicated suction dilation and curettage (D&C), with resolution of her symptoms a few days after. At a follow-up appointment, the patient continued to be asymptomatic and was feeling well.