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Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report.
Cureus
March 2024
Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Article Synopsis
- Myxedema is a critical medical condition associated with severe hypothyroidism, leading to high mortality if untreated.
- A middle-aged woman displayed symptoms like body swelling, shortness of breath, and neck swelling, ultimately diagnosed with severe hypothyroidism and related complications.
- Despite initial treatment with levothyroxine and antibiotics, her condition worsened due to ventilator-associated pneumonia, leading to sepsis and respiratory failure, resulting in her death.
Supraglottic myxoedema successfully treated orally.
Endocrinol Diabetes Metab Case Rep
January 2024
Department of Family & General Medicine, Tokyo-Kita Medical Center, Japan.
Article Synopsis
- Myxoedema coma is a serious condition resulting from severe hypothyroidism, leading to multiple organ dysfunction, altered consciousness, and low body temperature, with high mortality rates if not treated early.
- A case study highlighted a 66-year-old man who presented with severe symptoms and was later diagnosed with myxoedema coma and laryngeal swelling, requiring intubation and tracheostomy to manage respiratory failure.
- Despite the challenges posed by the supraglottic swelling, the patient improved and was treated successfully with oral thyroid medication, demonstrating that this condition can sometimes be managed without invasive procedures.
Supraglottic myxedema presenting as acute upper airway obstruction.
Otolaryngol Head Neck Surg
February 2006
Division of Otolaryngology-Head and Neck Surgery, Albany Medical Center, Albany, NY, USA.
Sleep apnea syndrome after irradiation of the neck.
Arch Otolaryngol Head Neck Surg
December 1989
Pulmonary Disease Service, Letterman Army Medical Center, Presidio of San Francisco, CA 94129-6700.
After irradiation of the neck for a squamous cell carcinoma of the tonsillar pillar and vocal cord, a 71-year-old man presented with a rapidly progressive sleep apnea syndrome. Previous reports describe the condition of patients with obstructive sleep apnea that developed after neck irradiation and secondary to supraglottic edema. Our patient had an obstructive component to his apnea similar to that described in previous cases, but, in addition, he had hypothyroidism.
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