GuidelineSuperseded
JTA — Clinical Guidance for Severe Hypothyroidism and Myxedema Coma
Japan Thyroid Association, 2021
This guideline has been superseded by a newer recommendation. Check the Knowledge Map or the current topic page for the guideline that replaces it.
Myxedema coma is a clinical emergency requiring prompt thyroid hormone replacement, empiric stress-dose glucocorticoid until adrenal insufficiency is excluded, careful supportive care, and treatment of the precipitating illness.
Conditional recommendationModerate certainty
View source guidelineClinical Context & Relevant Topics (2)
Disease ReferenceMyxedema Coma
Recognition and ICU treatment of decompensated profound hypothyroidism with altered mental status and multiorgan dysfunction.
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Endocrine Emergencies in Critical Care
Bedside recognition and organ-support priorities for thyroid storm, myxedema coma, adrenal crisis, pheochromocytoma crisis, and severe hypercalcemia.
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