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Burn-induced Myxedema Crisis
Ann S Batista1, Laura L Zane1, Lane M Smith1
1Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina.
Clinical Practice and Cases in Emergency Medicine
|June 1, 2018
Summary
Myxedema crisis, a severe thyroid deficiency, can rapidly cause organ failure after injury. Prompt thyroid hormone replacement is crucial for recovery, even after burns.
Area of Science:
- Endocrinology
- Critical Care Medicine
Background:
- Myxedema crisis (MC) is a rare, life-threatening condition stemming from severe thyroid hormone deficiency.
- It often presents with multi-system organ impairment and can be triggered by an inciting event.
Observation:
- A case of MC rapidly progressed with hypothermia, altered mental status, and respiratory failure.
- The trigger was identified as a flash burn to the face.
Findings:
- The patient's condition did not improve with rewarming and supportive care alone.
- Thyroid hormone replacement was essential for clinical improvement.
Implications:
- This case highlights the importance of considering MC in patients with rapid metabolic encephalopathy post-injury.
- A high index of suspicion is needed for prompt diagnosis and treatment, especially after burns.
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