Hypothermic myxoedema. A report of the successful use of triiodothyronine.
نویسنده
چکیده
Severe constipation and hypothermia progressing to hypothermic coma are known complications of myxoedema. The occurrence of hypothermia is recognized to be an indication for urgent treatment with the most rapidly acting thyroid preparation available, l-triiodothyronine. There are only two cases of hypothermic myxoedema coma which have been successfully treated with triiodothyronine reported in the English literature (Macdonald, I958; Surtees and Ginsberg, I958), and there is no accepted regime for the dosage and mode of administration of this drug. A further case of myxoedema with hypothermia which was successfully treated is here reported, with details of the dosage of triiodothyronine used. The patient is also of interest in that she originally presented with sub-acute obstruction of the large bowel due to faecal impaction, the result of severe constipation, and at this time, four weeks before the occurrence of hypothermia, the diagnosis of myxoedema was missed.
منابع مشابه
Hypothermic Myxoedema
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عنوان ژورنال:
- Postgraduate medical journal
دوره 36 شماره
صفحات -
تاریخ انتشار 1960