Munir Atif
Diabetes and Endocrinology, University Hospital of Hartlepool, UK.
J Ayub Med Coll Abbottabad. 2018 Jan-Mar;30(1):119-120.
Myxedema may be the first presentation of patients with undiagnosed hypothyroidism. Definitive management is with thyroid hormone but supportive measures, identification and treatment of precipitating factors in an appropriately safe environment are vital. There is no consensus about preferred thyroid hormone regimen. Corticosteroid therapy is given until adrenal insufficiency has been excluded. We present here a case of seventy-four years old woman of myxodema coma.
黏液性水肿可能是未被诊断出的甲状腺功能减退患者的首发表现。明确的治疗方法是使用甲状腺激素，但在适当安全的环境中采取支持措施、识别并治疗诱发因素至关重要。关于首选的甲状腺激素治疗方案尚无共识。在排除肾上腺功能不全之前给予皮质类固醇治疗。我们在此报告一例74岁黏液性水肿昏迷女性病例。
