Myxedema coma

The Myxoedema coma is the most serious and life-threatening onset form of hypothyroidism , which in non-treated patients by various triggers such as, inter alia, infection , surgery or trauma , certain medications strong, cold exposure can occur. It is very rare in primary health care areas these days.

Symptoms

The main symptoms are:

• Hypothermia (rectal temperature partially not measurable)
• Hypoventilation with hypoxia / hypercapnia
• Bradycardia and hypotension
• Myxedematous appearance (however, this does not occur in all cases)

therapy

The therapy consists mainly of intravenous administration of high-dose thyroid hormones (e.g. levothyroxine ), corticosteroids and glucose , regulation of the water and electrolyte balance , rewarming (e.g. with the help of conventional blankets).

Web links

• Myxedema coma or crisis - eMedicine

Individual evidence

1. ↑ Internal medicine . 2010, p. 720, Gerd Herold et al.

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !