Case Report
Volume: 6 | Issue: 9 | Published: Dec 19, 2022 | Pages: 177 - 183 | DOI: 10.24911/ejmcr/173-1664645776
Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis
Authors: Tanveer Hussain , Shahzad Nisar Khan
Article Info
Authors
Tanveer Hussain
Royal Oman Police Hospital, Muscat Oman
Shahzad Nisar Khan
Royal Oman Police Hospital, Muscat Oman.
Publication History
Received: October 07, 2022
Revised: November 19, 2022
Accepted: November 19, 2022
Published: December 19, 2022
Abstract
Background: Myxedema crisis is a rare decompensated hypothyroid clinical condition with high mortality if remains unrecognized. Case presentation: We report a case of 36-year old male with a 3 week history of difficulty in breathing and facial puffiness. Periorbital edema, very dry skin, and non-pitting edema of legs was noticed on clinical examination. The patient was commenced on oral thyroxine for abnormal thyroid functions but deteriorated over the next few days. A diagnosis of myxedema crisis was made and was treated with a loading dose of oral thyroxine followed by maintenance dose along with intravenous steroids and intravenous antibiotics. Thyroxine dose was adjusted with serial thyroid functions on alternate days to confirm absorption. The patient clinically improved as thyroid functions advanced toward normalization. Conclusion: Myxedema crisis remains poorly recognized condition due to extremely rare endocrine emergency. Under circumstances where intravenous hormone not available, oral thyroxine with daily or alternate day thyroid hormone level to confirm absorption and to adjust dose is equally effective way of management. Patient must be considered for an adrenal insufficiency unless proven otherwise.
Keywords: Case report, myxoedema crisis, thyroxine, steroids, antibiotics, adrenal insufficiency, green
Pubmed Style
Tanveer Hussain, Shahzad Nisar Khan. Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis. EJMCR. 2022; 19 (December 2022): 177-183. doi:10.24911/ejmcr/173-1664645776
Web Style
Tanveer Hussain, Shahzad Nisar Khan. Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis. https://ejmcr.com/articles/1110 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1664645776
AMA (American Medical Association) Style
Tanveer Hussain, Shahzad Nisar Khan. Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis. EJMCR. 2022; 19 (December 2022): 177-183. doi:10.24911/ejmcr/173-1664645776
Vancouver/ICMJE Style
Tanveer Hussain, Shahzad Nisar Khan. Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis. EJMCR. (2022), [cited December 25, 2024]; 19 (December 2022): 177-183. doi:10.24911/ejmcr/173-1664645776
Harvard Style
Tanveer Hussain, Shahzad Nisar Khan (2022) Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis. EJMCR, 19 (December 2022): 177-183. doi:10.24911/ejmcr/173-1664645776
Chicago Style
Tanveer Hussain, Shahzad Nisar Khan. "Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis." 19 (2022), 177-183. doi:10.24911/ejmcr/173-1664645776
MLA (The Modern Language Association) Style
Tanveer Hussain, Shahzad Nisar Khan. "Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis." 19.December 2022 (2022), 177-183. Print. doi:10.24911/ejmcr/173-1664645776
APA (American Psychological Association) Style
Tanveer Hussain, Shahzad Nisar Khan (2022) Anamnesis of rare severe decompensated hypothyroid emergency managementmyxedema crisis. , 19 (December 2022), 177-183. doi:10.24911/ejmcr/173-1664645776