Abstract

A CASE OF MYXEDEMA SEEN WÄ°TH ACUTE RESPÄ°RATORY FAÄ°LURE

Dr. Metin K?l?nç*, Dr. ?rem Ak?n ?en and Prof. Dr. Hülya Sungurtekin

Abstract

Hypothyroidism is a clinical table that occurs as a result of insufficient effects of thyroid hormones. Myxedema coma is a table of severe hypothyroidism causing a diminished mental status, hypothermia, hypotension, bradycardia, hyponatremia and hypoventilation. Frequently seen symptoms include listlessness, fatigue, sleepiness, constipation, intolerance to cold, dry skin, thickening of the voice, slow movements, weight gain, cramps, carpal tunnel syndrome, and menorrhagia. Atypical presentations are seen more often in elderly patients with hypothyroidism. The case is here presented of a 72-year old patient with myxedema who presented at the Emergency Department with complaints of respiratory problems, sleepiness and inability to speak.

Keywords: Hypothyroidism, Myxedema coma, respiratory failure.