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[Myxedema coma. Case report]
1Razumovsky Saratov State Medical University.
Terapevticheskii Arkhiv
|October 26, 2022
Summary
Hypothyroid coma is a rare but serious complication of hypothyroidism. This case highlights how cardiovascular issues can mask hypothyroidism, delaying diagnosis and treatment.
Area of Science:
- Endocrinology
- Internal Medicine
- Critical Care Medicine
Background:
- Primary hypothyroidism can lead to severe, life-threatening complications.
- Hypothyroid coma is a rare but critical manifestation of untreated hypothyroidism.
- Cardiovascular comorbidities can obscure the diagnosis of hypothyroidism.
Observation:
- A patient with diagnosed primary hypothyroidism presented with hypothyroid coma.
- The clinical presentation was dominated by cardiovascular pathology, edema, and hypercholesterolemia.
- Rhabdomyolysis and respiratory depression were significant complications.
Findings:
- The initial diagnostic focus on cardiac pathology delayed the recognition of hypothyroidism.
- Hypothyroid coma presented as a mimic of ischemic heart disease and heart failure.
- Prompt diagnosis and management of hypothyroidism are crucial in preventing severe outcomes.
Implications:
- Clinicians should maintain a high index of suspicion for hypothyroidism, even with prominent cardiovascular symptoms.
- Early recognition and treatment of hypothyroidism are vital to prevent severe complications like hypothyroid coma.
- This case underscores the importance of considering endocrine disorders in complex medical presentations.
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