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UNTREATED HASHIMOTO'S CAN LEAD TO A DEADLY COMA

A man in a coma in a dim intensive care room as frost creeps across the floor toward his bed

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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OKAY BACK FROM THE ICU 🚑

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WEAK AND CONFUSED IN THE EMERGENCY ROOM 🚨

A 49 Year Old Man With No Medical History Arrived At The ER

On Arrival He Was Weak Confused And Less Alert Than Normal

His Blood Pressure Was 85 Over 65

He Was Taking 32 Breaths A Minute

Oxygen In His Blood Measured Only 78 Percent

His Temperature Was 96.4 Degrees

Doctors Found Widespread Swelling In His Body

His Abdomen Was Distended And His Reflexes Were Reduced

Those Reflexes Also Relaxed More Slowly Than Normal

The Exam Found No Goiter In His Neck

His Urine Test Suggested A Possible Infection

Abdominal X-Rays Ruled Out A Bowel Blockage

A Heart Ultrasound Showed It Was Pumping Normally

No Fluid Had Built Up Around His Heart

An EKG Showed A Slow Heart Rhythm

His Heart Rate Was 49 Beats A Minute

The Tracing Was Also Low In Voltage

His Electrolytes Came Back Normal

He Had No Known History Of Thyroid Disease

Thyroid Hormone Had Never Been Part Of His Treatment

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FROM BLOOD WORK TO RECOVERY 🌡️

Blood Glucose Was Low At 59

TSH In His Blood Measured 154

Free T4 Measured Just 0.1

His TSH Was High And His Free T4 Was Low

Doctors Weighed His Symptoms And Lab Results Together

The Diagnosis Was Myxedema Coma

Myxedema Coma Is The Most Extreme Form Of Hypothyroidism

Death Can Still Follow Even With Fast Treatment

He Was Intubated And Moved To The Intensive Care Unit

IV Levothyroxine Began With 200 Micrograms Then 75 Daily

Another Thyroid Hormone Called Liothyronine Went In Through A Tube

Hydrocortisone Was Started For His Low Pressure And Glucose

Ceftriaxone Was Started For A Suspected Urinary Infection

His Thyroid Antibody Level Came Back At 99

That Result Pointed To A Possible Underlying Hashimoto's Thyroiditis

Over Several Days His Thyroid Levels Slowly Rose

He Was Taken Off The Breathing Tube

His Breathing Failed Again And The Tube Went Back In

After More Thyroid Medicine Changes The Tube Finally Came Out

He Moved From The ICU To A Regular Floor

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THE EXTREME END OF THE DISEASE 🧭

Myxedema Coma Was First Described In 1850

Thyroid Testing And Treatment Have Made It Less Common

Earlier Studies Found It Almost Only In Women Over 60

His Case Was Different

The Report Describes Him As A Young Man

Many People With Hashimoto's Have No Symptoms At First

With Enough Iodine Hashimoto's Is The Top Cause Of Thyroid Failure

Worldwide Iodine Deficiency Causes More Hypothyroidism Overall

About 95 Percent Of Myxedema Coma Traces To Primary Hypothyroidism

That Hypothyroidism Is Usually Caused By Hashimoto's

Myxedema Coma Results From Severe Hypothyroidism Left Untreated

Without Treatment Its Death Rate Can Pass 60 Percent

The NIH Says The Body Can Slow Down Enough To Threaten Life

In Hashimoto's The Immune System Makes Antibodies Against The Thyroid

Hashimoto's Is A Lifelong Condition

One Actress With Hashimoto's Said She Will Never Be Cured

Thyroid Medicine Taken As Prescribed Can Control Hypothyroidism Well

Regular Follow-Up Blood Tests Are Part Of Keeping It Controlled

Having Another Autoimmune Disease Raises The Chance Of Hashimoto's

Hashimoto's Has Also Been Linked To A Rare Brain Illness

Left Untreated Hashimoto's Can Lead To Myxedema Coma

The End

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