Low level of consciousness or coma resulting from a decrease in thyroid hormones in the blood (severe hypothyroidism). It is more common in elderly women and predominantly in cold weather.
It is usually caused by poorly controlled hypothyroidism due to ignorance of the disease. There are triggering factors that can precipitate its onset: stress, infections, trauma or medications.
It manifests with low body temperature (hypothermia), decreased blood glucose level, low respiratory rate, low heart rate and low level of consciousness with numbness, apathy and even coma. It may be accompanied by brittle nails and hair, pale and dry skin, and swelling of the arms and legs.
Diagnosis is made by clinical examination, physical examination and blood tests.
It is a situation that requires hospitalization. Treatment will consist of replenishing the thyroid hormone deficiency.
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