Periorbital Myxedema
Authors:
- Jimmy Tam HuyJHJimmy Tam Huy
- Christopher Thomas DoigCDChristopher Thomas Doig
- 1 November 2016
- journal article
- case report
- Published by Walter de Gruyter GmbH in Journal of Osteopathic Medicine
- Vol. 116 (11) , 753
Abstract
A 71-year-old woman with a history of hypothyroidism presented to the emergency department with dyspnea. Physical examination revealed massive lower eyelid edema bilaterally (image) and dry, flaky skin on her lower extremities. Vital signs were normal. Further investigation revealed that the patient had been noncompliant with her prescribed levothyroxine for more than a year. The results of biochemical tests revealed a thyroid-stimulating hormone level of 220 mIU/L and a free thyroxine level of 0.15 µg/dL. The patient was admitted to the hospital, where a 0.1-mg intravenous dose of levothyroxine was administered daily for 3 days.Keywords
This publication has 1 reference indexed in Scilit:
- Mechanisms of Edema Formation in Myxedema — Increased Protein Extravasation and Relatively Slow Lymphatic DrainageNew England Journal of Medicine, 1979