ID | 58767 |
フルテキストURL | |
著者 |
Harada, Ko
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Murakami, Shuntaro
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Tokumasu, Kazuki
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Togawa, Yu
Department of Internal Medicine, Kaneda Hospital
Otsuka, Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
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抄録 | Myxedema coma is an emergency presentation of hypothyroidism, and cardiopulmonary manifestations of the disease are related to a high mortality rate. We herein report a case of myxedema coma accompanied by sick sinus syndrome requiring temporary cardiac pacing and hypercapnic respiratory failure in an 87-year-old woman. This case is unique because both of the cardiac and pulmonary manifestations were reversible and successfully treated with thyroid hormone replacement. Our case indicates that early detection of the condition and administration of levothyroxine are essential to improve the life-threatening condition and avoid invasive treatment such as permanent pacemaker implantation or intubation.
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キーワード | hypercapnic respiratory failure
myxedema coma
sick sinus syndrome
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発行日 | 2019-06-25
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出版物タイトル |
Journal of General and Family Medicine
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巻 | 20巻
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号 | 5号
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出版者 | Wiley
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開始ページ | 206
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終了ページ | 208
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ISSN | 2189-7948
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2019 The Authors.
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論文のバージョン | publisher
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関連URL | isVersionOf https://doi.org/10.1002/jgf2.267
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ライセンス | https://creativecommons.org/licenses/by-nc/4.0/
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