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Medical Health Encyclopedia
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Endocrine glands
Endocrine glands
Hypothyroidism
Hypothyroidism
Brain-thyroid link
Brain-thyroid link
Thyroid gland
Thyroid gland


Hypothyroidism

Alternative Names:
Myxedema; Adult hypothyroidism

Treatment:

The purpose of treatment is to replace the deficient thyroid hormone. Levothyroxine is the most commonly used medication. The lowest dose effective in relieving symptoms and normalizing the TSH is used. Life-long therapy is needed. Medication must be continued even when symptoms subside. Thyroid hormone levels should be monitored yearly after a stable dose of medication is determined.

Text Continues Below



After replacement therapy has begun, report any symptoms of increased thyroid activity (hyperthyroidism) such as restlessness, rapid weight loss, and sweating.

Myxedema coma is a medical emergency that occurs when the body's level of thyroid hormones becomes extremely low. It is treated with intravenous thyroid replacement and steroid therapy. Supportive therapy of oxygen, assisted ventilation, fluid replacement, and intensive-care nursing may be indicated.



Expectations (prognosis):

With treatment, return to the normal state is usual. Life-long medication is needed. Myxedema coma can result in death.



Complications:

Myxedema coma, the most severe form of hypothyroidism, is rare. It may be caused by an infection, illness, exposure to cold, or certain medications in an individual with untreated hypothyroidism. Symptoms and signs of myxedema coma include unresponsiveness, decreased breathing, low blood pressure, low blood sugar, and below normal temperature.

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