title: Diagnosis of myxedema coma complicated by renal failure: a case report.
abstract: Myxedema coma, caused by severe lack of thyroid hormone, is characterized by deterioration of mental status, hypothermia, hypotension, hyponatremia, and hypoventilation. We describe an 84-year-old woman who presented with renal failure and new onset severe hypothyroidism leading to challenges in the recognition of myxedema coma.
authors.affiliation: Department of General Medicine Center Kanazawa Medical University Hospital 1-1 Uchinada Kahoku-gun Ishikawa Japan; Department of Medical Education Kanazawa Medical University 1-1 Uchinada Kahoku-gun Ishikawa Japan; Department of Family Medicine Mie University Graduate School of Medicine 2-174 Edo-bashi Tsu Mie Japan.
authors.forename: Akiteru
authors.identifier: 0000-0003-2734-9045
authors.initials: A
authors.lastname: Takamura
authors.affiliation: Department of General Medicine Himi Municipal Hospital Kanazawa Medical University 31-9 Saiwai-cho Himi Toyama Japan.
authors.forename: Ryusho
authors.initials: R
authors.lastname: Sangen
authors.affiliation: Department of General Medicine Himi Municipal Hospital Kanazawa Medical University 31-9 Saiwai-cho Himi Toyama Japan.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Furumura
authors.affiliation: Department of General Medicine Himi Municipal Hospital Kanazawa Medical University 31-9 Saiwai-cho Himi Toyama Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Usuda
authors.affiliation: Department of General Medicine Himi Municipal Hospital Kanazawa Medical University 31-9 Saiwai-cho Himi Toyama Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kasamaki
authors.affiliation: Department of General Medicine Himi Municipal Hospital Kanazawa Medical University 31-9 Saiwai-cho Himi Toyama Japan.
authors.forename: Tsugiyasu
authors.initials: T
authors.lastname: Kanda
keywords: Case report; diagnosis; emergency; myxedema coma; renal failure