Myxedema Coma

Krishna Wardhana Sucipto

Abstract


Abstrak. Myxedema coma merupakan keadaan hlpotiroid berat yang disertai dengan penurunan status mental, hipotermia, dan beberapa keadaan Lain.  Berdasarkan  demografi keadaan  ini terjadi pada O, l % dari seluruh kejadian hipotiroid dengan angka mortalitas mencapai  800/o.  Keadaan ini  biasanya dicetuskan  oleh suatu kejadian akut pada keadaan hipotiroid yang berat dan berlama-lama, Manifestasi klinisnya beragam yang terdiri dari kelainan ;  neuropsikiatri,  hipotermia,  kardiovaskular, respirasi, gastrointestinal, hipoglikemia, kelainan elektrolit, ginjal dan saluran  kemih.  Diagnosis dan penatalaksanaannya haruslah sedini  rnungkin  dan agresif tanpa harus menunggu basil laboratorium sebagai konfinnasi, guna menurunkan angka mortalitas yang masih sangat tinggi. (JKS 2009;2:91-95)

Kata kunci:  Myxedema coma, hipotiroid.

btrarl. Myxedema coma is defined as severe hypothyroidism leading to decrease mental status, hypothennia, and other symptoms. Based of the demographics, this disease occurs 0.1  % of hypothyroidism cases with the mortality untill 80  %.  Myxedema  coma be  precipitated  by  an  acute event in  long-standing   severe hypothyroidism Its has protean clinical presentation consist of :   neuropsychiatricmanifestation, hypothermia, cardiovascular,respiratory, gastrointestinal, hypoglicaemia, electrolyte and kidney disturbances. Early diagnosis and agresively of treatment are essensial without  waiting the laboratory  for reduced the mortality.  (JKS 2009;2:91-95)

Keyword  : Myxedema coma, hypothyroidism.



Keywords


Kata kunci: Myxedema coma, hipotiroid; Myxedema coma, hypothyroidism.

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References


Daftar pustaka

I. Santiago.R, Rashkin. MC. • Lithium toxicity and

myxedema coma in an eldely woman. In: l

Emerg.Med 1990; 8:63.

Waldman.SA, Park.D. Myxedema coma associaetd with lithium therapy. In: Am J Med 1989; 87: 355.

Wagner MJ, Cowling K Endocrine and Metabolic

Emergencies. In: Emerg Med Clin N Am; 2005: 23.

Ayling RM. Myxoedema coma. In: CME Endocrinology & Diabetes; 2001: 3:3 : 72-4.

Wartofsky.L. Myxedema Coma : hi : Endocrinol

Met.ab Clio N Am; 2006; 35: 687-98.

Bahar A. Penatalak:sanaan Paripurna Pasien Geriatri

dengan Pneumonia. Dalam : Supartondo, Siti Setiadi, Soejono CH, editor. Presiding Temu Ilmiah Geriatri:

: 61-75.

Riquelme R, Torres A, Landis SJ.et.al. Community Acquired Pnuemonia in The Elderly. Clinical and Nutrition Aspect. In: Am J Respir Crit Care Med.

; 180: 1908-14 .

Haupt M. Kun. A. Reversibility of dementia, in

Hypothyroidism. I Neurol; 1993; 240:333.

Klein. I. Thyroid hormone and cardiovascular system. Am J Med; I 990; 88 :631.

Urquhart AD, Rea IM, Lawson LT, et.al. A new complication of hypothyroid coma : neurogenic

dysphagia: Presentation, diagnosis and treatment. Thyroid 2001; 11:595-8.

Surnual. AR, Langi. Y. Hipotiroidisme. Dalarn: Djokomoeljanto. Buku Ajar Tiroidologi Klinik; 200?

: 295-318.

Ladenson PW, Belin RM Hypothyroidism. In : Bar RS. Early Diagnosis and Treatment of Endocrine Disorder; New Jersey ; Humana Press ; 2003 :37-52.

Rodrigueez. I, Fluiters E, Perez Mendez, et al Factors Associated with mortality of patients with myxoedema coma: Prospective Study in I I cases treated in a single institution. J Endocrinol 2004; 180

: 347.

Latrofa F, Pinchera A. Autoimmune Hypothyroidism.

In : Weetman PA. Autoimmune Disease In

Endocrinology; New Jersey; Humana Press ; 2008 :

-77.


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