1249

    December 2012 in “ Critical Care Medicine ”
    Rachael Davis, Shailesh Pinto, Kaninika Verma
    TLDR Recognizing myxedema coma is crucial due to its high risk and unusual symptoms.
    This case report described a 46-year-old Caucasian female with myxedema coma, a rare and severe complication of untreated hypothyroidism, which was precipitated by an acute pulmonary embolism. Despite the low incidence of myxedema coma (0.22 per million per year), it was critical to diagnose due to its high mortality rate. The patient presented with severe symptoms including respiratory distress, hypothermia, and alopecia, and was found to have elevated thyroid-stimulating hormone levels indicative of Hashimoto’s disease. She was treated with levothyroxine, liothyronine, and hydrocortisone, leading to stabilization and extubation by the fifth hospital day. This case highlighted the unusual presentation of pulmonary embolism in myxedema coma, which is typically associated with a hypocoagulable state.
    Discuss this study in the Community →

    Related Community Posts Join

    6 / 1000+ results

      community C’est terrible - at my wits end

      in Female  450 upvotes 2 years ago
      A 29-year-old woman is experiencing gradual hair thinning since age 15, suspects Androgenic Alopecia, and has tried 5% minoxidil with little success. She has purchased various hair loss treatments including minoxidil, dutasteride, finasteride, and spironolactone, but is cautious about starting them due to potential interactions with her ADHD medication.

      community Here's an actual crazy dut shed

      in Update  276 upvotes 7 months ago
      A user switched from finasteride to dutasteride and from topical to oral minoxidil, experiencing significant hair shedding. They plan to continue this regimen for a year before deciding on any changes.

      community Is this retrograde alopecia ??

      in Chat  24 upvotes 1 year ago
      The conversation discusses hair thinning and treatments like finasteride, dutasteride, oral and topical minoxidil, and RU58841. Users share experiences with retrograde alopecia, hair transplants, and stress-related hair loss, while also considering thyroid issues and other potential causes.

      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 3 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

    Similar Research

    6 / 1000+ results