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Diagnosis
The diagnosis of thyroid storm is based on clinical presentation. Two methods exist to calculate the probability of thyroid storm based on clinical criteria, including the Burch-Wartofsky score introduced in 1993 and the Akamizu criteria published in 2012. A Burch-Wartofsky score below 25 signals unlikely thyroid storm, 25 to 45 suggests impending storm and greater than 45 suggests thyroid storm. Alternatively, the Akamizu criteria, derived from a large cohort of patients with thyroid storm in Japan, provides a similar scale to assess the probability of thyroid storm.