Hypoplastic anaemia complicating myxoedema coma.
The case of a 68 year old women presenting in myxoedema coma is described. She was found to be anaemic with a haemoglobin of 8.2 g/dl. Further investigations showed a pancytopenia and a hypoplastic anaemia confirmed by bone marrow. The patient recovered and became euthyroid following initial treatment with intravenous tri-iodothyronine (T3) and later oral thyroxine (T4) replacement with resolution of pancytopenia and return of bone marrow to normal.
Song
S H
SH
Medical Unit, Victoria Hospital, Kirkcaldy, Fife.
McCallum
C J
CJ
Campbell
I W
IW
D000368:Aged; D000741:Anemia, Aplastic / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D001856:Bone Marrow Examination; D005260:Female; D006801:Humans; D009230:Myxedema / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D010198:Pancytopenia / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D013974:Thyroxine / Q000627:therapeutic use
D013974:Thyroxine