Pitfall of Thyroid Storm Score

The thyroid storm is an emergency characterized by multiple organ failure due to severe thyrotoxicosis that often triggered other diseases. diagnosis of made clinically in a thyrotoxic patient with evidence systemic decompensation. Burch–Wartofsky Point Scale (BWPS) score widely used diagnose storm, introduced Burch and Wartofsky 1993. In Scale, the if there 45 has previous history elevated free fT3 (triiodothyronine) or fT4 (free thyroxine). But condition it cannot be distinguished whether caused effects diseases, then these symptoms are considered as result thyrotoxicosis. pitfall. If we accustomed assuming worsening patients thyrotoxicosis, without trying exclude conditions can lead misdiagnosis storm. This article aims remind us careful applying diagnostic tools diagnosing