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Open Access Publications from the University of California

Burn-induced Myxedema Crisis

  • Author(s): Batista, Ann S.;
  • Zane, Laura L.;
  • Smith, Lane M.
  • et al.

Myxedema crisis (MC) is a rare but life-threatening illness characterized by multi-system organ impairmentfrom thyroid hormone deficiency that is often brought on by an eliciting event. We present the case of MCwith a rapid progression of hypothermia, altered mental status, and respiratory failure that was instigatedby a flash burn to the face. The patient’s condition was refractory to rewarming and supportive efforts untilthyroid hormone was replaced. This case illustrates the need for a high index of suspicion for patients with arapid onset of metabolic encephalopathy immediately after an injury or burn.

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