Myxedema coma

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Myxedema coma is a rare condition that needs emergency care. It can occur in a person who has untreated, severe hypothyroidism. It usually occurs in older adults who have other illnesses, such as a serious infection or heart attack, along with their hypothyroidism.

These life-threatening symptoms may occur:

  • Mental deterioration such as apathy, confusion, and psychosis
  • Extremely low body temperature (hypothermia)
  • Extremely slow heartbeat (fewer than 60 beats a minute)
  • Heart failure
  • Respiratory failure

Death can occur if myxedema coma is not treated. Emergency treatment may include thyroid hormone replacement given in a vein (intravenously) and steroid therapy.

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.