What symptom is NOT typically associated with thyroid storm?

In a thyroid storm, which is a severe and life-threatening exacerbation of hyperthyroidism, the body experiences an overwhelming surge of thyroid hormones. This clinical state is characterized by a hypermetabolic response, leading to a variety of symptoms due to increased metabolic demands.

The correct answer highlights that lower body temperature is not typically associated with thyroid storm. Instead, individuals experiencing a thyroid storm usually present with elevated body temperature (hyperthermia) as the metabolic processes become significantly ramped up. This feverish state reflects the body's heightened response to excess thyroid hormones.

In contrast, symptoms such as severe anxiety, extreme fatigue, and shortness of breath are commonly observed during a thyroid storm. Severe anxiety results from the overstimulation of the central nervous system. Extreme fatigue can occur despite the hyperactivity, as the body's energy reserves are depleted in response to the increased metabolic rate. Shortness of breath can arise from various factors, including cardiovascular stress and increased heart rates, which are also common in hyperthyroid conditions. Thus, the absence of lower body temperature distinguishes it as the symptom that does not align with the clinical presentation of a thyroid storm.