Myxoedema coma: a forgotten presentation of extreme hypothyroidism
Autor: | David Gish, Richard Loynd, Salik Nazir, Stephen Melnick |
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Rok vydání: | 2016 |
Předmět: |
Pediatrics
medicine.medical_specialty Hydrocortisone Anti-Inflammatory Agents Vital signs 030204 cardiovascular system & hematology Article 03 medical and health sciences 0302 clinical medicine Hypothyroidism Internal medicine Myxedema Heart rate medicine Macroglossia Humans 030212 general & internal medicine Coma Aged business.industry General Medicine Emergency department medicine.disease Thyroxine Blood pressure Endocrinology Female medicine.symptom Presentation (obstetrics) business |
Zdroj: | BMJ Case Reports. :bcr2016216225 |
ISSN: | 1757-790X |
DOI: | 10.1136/bcr-2016-216225 |
Popis: | A 66-year-old woman presented to the emergency department after being found unconscious in her home. She lived alone and had no contact with the healthcare system for the past 20 years. On presentation, her vital signs included a temperature of 31.2°C (88.2°F), heart rate of 46 bpm and blood pressure of 109/64 mm Hg. On examination, she had thin and brittle hair, loss of the lateral third of her eyebrows, macroglossia and doughy periorbital oedema (figure 1). Laboratory data revealed a thyroid-stimulating hormone of … |
Databáze: | OpenAIRE |
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