A Very Uncommon Case of Myxedema Coma: Rediscovery of an Old Presentation

Myxedema coma is an extreme manifestation of hypothyroidism. It is characterized by altered mental status and hypothermia. The most common precipitants of myxedema coma include discontinuation of thyroid supplements and infections. Therefore, the mainstay of treatment is IV glucocorticoids and IV le...

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Detalles Bibliográficos
Autores principales: AlShanableh, Zain, Wong, Krista M, Haidous, Mohammad, Chakhachiro, Deema, Altaqi, Basel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Endocrinology/Diabetes/Metabolism
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393320/
https://www.ncbi.nlm.nih.gov/pubmed/36017275
http://dx.doi.org/10.7759/cureus.27177
Descripción
Sumario:Myxedema coma is an extreme manifestation of hypothyroidism. It is characterized by altered mental status and hypothermia. The most common precipitants of myxedema coma include discontinuation of thyroid supplements and infections. Therefore, the mainstay of treatment is IV glucocorticoids and IV levothyroxine. We describe a case of an 81-year-old woman with myxedema coma who developed acute cardiopulmonary failure with associated pericardial and pleural effusions, which are rare manifestations of myxedema coma.

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