Myxedema coma

From WikiMD's Food, Medicine & Wellness Encyclopedia

Myxedema Coma is a severe, life-threatening form of hypothyroidism that is characterized by mental and physical sluggishness. It is a medical emergency that requires immediate attention.

Signs and Symptoms[edit | edit source]

The signs and symptoms of myxedema coma can vary widely, depending on the severity of the hypothyroidism. Some common signs and symptoms include:

  • Extreme fatigue
  • Cold intolerance
  • Drowsiness
  • Unintentional weight gain
  • Dry skin
  • Hair loss
  • Slow heart rate
  • Constipation
  • Depression
  • Muscle aches and stiffness
  • Swelling of the hands, feet, and face

Causes[edit | edit source]

Myxedema coma is usually caused by long-term, untreated hypothyroidism. Other potential causes can include:

  • Infections
  • Certain medications
  • Stroke
  • Trauma
  • Surgery
  • Heart failure
  • Respiratory failure

Diagnosis[edit | edit source]

Diagnosis of myxedema coma is based on the patient's clinical history, physical examination, and laboratory tests. The most definitive test is a blood test to measure the levels of thyroid hormones (thyroxine (T4) and triiodothyronine (T3)) and thyroid-stimulating hormone (TSH).

Treatment[edit | edit source]

Treatment of myxedema coma typically involves immediate hospitalization and intensive care. Treatment may include:

  • Hormone replacement therapy
  • Supportive care (such as warming blankets and intravenous fluids)
  • Treatment of underlying causes or triggers

Prognosis[edit | edit source]

The prognosis for myxedema coma is generally poor, with a high mortality rate. However, with prompt and aggressive treatment, it is possible for patients to recover.

See Also[edit | edit source]

Myxedema coma Resources
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