Atypical Thyroid Stimulating Hormone Levels in Myxedema Coma Complicated by Severe Sepsis

被引：0

作者：

Hasan, Nazmul ^{[1
]}

Yang, Daniel ^{[1
]}

Othman, Thaer ^{[1
]}

Dai-Ju, Jenny ^{[1
]}

机构：

[1] UCI Med Ctr, Orange, CA 92868 USA

来源：

JOURNAL OF COMMUNITY HOSPITAL INTERNAL MEDICINE PERSPECTIVES | 2024年 / 14卷 / 06期

关键词：

Myxedema; Myxedema coma; Hypothyroidism; TSH;

D O I：

10.55729/2000-9666.1412

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Most cases of Myxedema Coma are associated with primary hypothyroidism characterized by significantly elevated thyroid stimulating hormone (TSH) levels. However, this case presents an atypical manifestation of myxedema coma with low TSH levels despite severe hypothyroidism. The rarity of this presentation lies in the absence of central lesions typically responsible for such TSH suppression. This highlights a critical consideration: the profound impact of severe sepsis on thyroid hormone regulation and the hypothalamus-pituitary-thyroid axis.

引用

页数：5

共 8 条

[1]

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