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Naseer Ahmad, MD; Margo P. Cohen, MD

JAMA. 1981;245(24):2516-2517.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IT IS now established that nonthyroidal illness can alter thyroid hormone metabolism in such a way that the serum level of triiodothyronine (T₃) is decreased and the level of reverse triiodothyronine (rT₃) is elevated in otherwise euthyroid persons.¹ The list of such nonthyroidal illnesses in which these findings occur has been growing. In patients with hyperthyroidism and intercurrent, nonthyroidal illness, the serum T₃ level may be normal or even less than normal and there is a concomitant increase in the rT₃ level.^2-4 Although one recent report describes a patient with diabetic ketoacidosis, hyperthyroidism, and a normal T₃ level,⁴ and another describes a patient in whom thyroid storm developed postoperatively and who at that time had a normal T₃ level,⁵ the occurrence of thyroid storm in a patient with a normal T₃ level and severe intercurrent illness has not been . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, Wayne State University School of Medicine, Detroit.

Footnotes
Reprint requests to Department of Medicine, Wayne State University School of Medicine, 540 E Canfield, Detroit, MI 48201 (Dr Cohen).

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