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Review ArticleClinical Review

Myxedema Coma In The Elderly

Cynthia G. Olsen
The Journal of the American Board of Family Practice September 1995, 8 (5) 376-383; DOI: https://doi.org/10.3122/jabfm.8.5.376
Cynthia G. Olsen
From the Department of Family Medicine, Wrright State University School of Medicine, Dayton, Ohio. Address reprint requests to Cynthia G. Olsen, MD, Department of Family Medicine, School of Medicine, Wright State University, 627 Edwin C. Moses Boulevard, Dayton, OH 45408
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Abstract

Background: Myxedema coma in the elderly, although uncommon, is frequently overlooked and has a high mortality rate. Signs and symptoms are many and are often insidious. Nearly every organ system is involved. Prompt recognition and treatment are mandatory for a successful outcome.

Methods: A case study is presented. Using the key words “myxedema” with the word “aged,” MEDLINE files were searched from 1989 to present. Articles dating before 1989 were accessed from the reference lists of the more recent articles.

Results and Conclusions: This review describes the signs and symptoms of myxedema coma in the elderly. Epidemiology and histopathology of the disorder are discussed. Prompt recognition and emergency medical treatment are essential for a successful outcome. Prevention requires screening of elderly patients at risk for hypothyroidism and assuring thyroid hormone replacement therapy.

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The Journal of the American Board of Family     Practice: 8 (5)
The Journal of the American Board of Family Practice
Vol. 8, Issue 5
1 Sep 1995
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Myxedema Coma In The Elderly
Cynthia G. Olsen
The Journal of the American Board of Family Practice Sep 1995, 8 (5) 376-383; DOI: 10.3122/jabfm.8.5.376

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Myxedema Coma In The Elderly
Cynthia G. Olsen
The Journal of the American Board of Family Practice Sep 1995, 8 (5) 376-383; DOI: 10.3122/jabfm.8.5.376
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