Case Report

Graves’ Disease and Treatment Effects on Warfarin Anticoagulation

Table 1

Inpatient warfarin response during hyperthyroid storm.

Day of warfarin Venopuncture INRaWarfarin dose (mg/day)TSHb ( IU/mL)Free (ng/dL)

11.18d50.006>7.77
21.275
53.025
74.41e5

INR: international normalized ratio, goals 2-3.
bTSH: thyroid stimulating hormone, reference range 0.450–4.500  IU/mL.
cFree T4: free thyroxine, reference range 0.82–1.77 ng/dL.
dINR was baseline level obtained prior to warfarin dose.
eINR result posted after patient had been discharged from hospital.