Myxedema coma


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Myxedema coma


Myxedema coma is a rare condition requiring emergency care that can occur in a person who has untreated, severe hypothyroidism. It usually occurs in older adults who have other illnesses, such as a serious infection or heart attack, in addition to their hypothyroidism.

The following life-threatening symptoms may occur:

  • Mental deterioration such as apathy, confusion, and psychosis
  • Extremely low body temperature (hypothermia)
  • Extremely slow heartbeat (fewer than 60 beats per minute)
  • Heart failure
  • Respiratory failure

Death can occur if myxedema coma is not treated. Emergency treatment may include thyroid replacement given in a vein (intravenously) and steroid therapy.

Credits


Author Jeannette Curtis
Author Caroline Rea, RN, BS, MS
Editor Kathleen M. Ariss, MS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Patrice Burgess, MD - Family Medicine
Primary Medical Reviewer Adam Husney, MD - Family Medicine
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Last Updated May 25, 2007

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Last updated: May 25, 2007
Author: Caroline Rea, RN, BS, MS
Reviewed By: Kathleen Romito, MD - Family Medicine
Editors: Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC

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