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CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 2  |  Page : 76-78

Pediatric Myxedema Coma – presenting as Surgical Abdomen


1 Associate professor and head of PICU, Department of pediatric critical care, Indira Gandhi Institute of child health, Bangalore, India
2 Fellow in pediatric critical care, Department of pediatric critical care, Indira Gandhi Institute of child health, Bangalore, India
3 Second year post graduate in Pediatrics, Indira Gandhi Institute of Child Health, Bangalore, India

Correspondence Address:
H S Vinayaka
Fellow in pediatric critical care, Department of pediatric critical care, Indira Gandhi Institute of child health, South Hospital Complex, Dharmaram College post, Bangalore 560029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.21304/2018.0502.00379

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Myxedema com, also called myxedema crisis is a rare life threatening clinical condition that represents severe hypothyroidism. It may be the initial presentation in pediatric patients with prolonged untreated hypothyroidism. Myxedema coma should be suspected in pediatric patients with altered mental status, hypothermia and cardiovascular instability. This condition is fatal without treatment. Thyroid replacement should be initiated as early as possible. Early intervention in hypothyroid patients and in patients where hypothyroidism is suspected has shown to prevent morbidity and mortality associated with myxedema crisis.


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