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Ann Geriatr Med Res > Volume 17(4); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(4):244-248.
DOI: https://doi.org/10.4235/jkgs.2013.17.4.244    Published online December 31, 2013.
Myxedema Coma Successfully Treated by Low Dose Oral Levothyroxine
Min Gyu Park, Kwang Jae Lee, Hye Won Lee, Eun Hee Sim, Jin Du Kang, Chang Woo Yeo
Department of Internal Medicine, Dae-Dong Hospital, Busan, Korea
저용량 경구용 갑상선 호르몬제로 치료한 점액수종 혼수 1예
박민규⦁이광재⦁이혜원⦁심은희⦁강진두⦁여창우
대동병원 내과
Abstract
Myxedema coma is a severe life-threatening form of hypothyroidism that is associated with a high mortality rate. It is known to be common in the elderly, and is mainly accompanied with cardiogenic shock, respiratory failure, central nervous system dysfunction, and body temperature regulation defects. Thus, immediate management is required in order to prevent fatal complications in myxedema coma. However, early detection is difficult and further, it is easily misdiagnosed due to its low incidence rate and nonspecific symptoms. We report a case of myxedema coma which was misdiagnosed for heart failure. The patient was successfully treated with intensive care and oral low dose levothyroxine.
Key Words: Myxedema, Hypothyroidism, Hypoventilation, Levothyroxine
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