SFEBES2013 Poster Presentations Thyroid (37 abstracts)
Myxedema Coma: an uncommon presentation of a common thyroid problem
Atif Munir , Caroline Hutchison , Balakrishna Kumar & Sony Anthony
University Hospital of Hartlepool, Hartlepool, UK.
Myxedema coma has very high mortality and should be suspected in an acutely unwell patient presenting with depressed mental status who is hypothermic, bradycardic and or hypotensive. Myxedema coma may be the first presentation of people with undiagnosed hypothyroidism. Definitive management is with thyroid hormone but supportive measures, identification and treatment of precipitating factors in an appropriately safe environment are vital. There is no consensus about preferred thyroid hormone regimen. Corticosteroid therapy is given until adrenal insufficiency has been excluded. We present a case series in this context highlighting the fact that this condition can still be seen outside textbooks and needs to be considered as a possible differential by general physicians on take.
Volume 31
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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