Myxedema (adults): rare but serious from persistently low thyroid production by ilness/rapid withdrawal of thyroid medication/surgery.
TX: levothyroxine (synthroid), glucose and corticosteroids.
CM: weight gain, cold and dry skin, lethargy and fatigue, intolerance to cold, brittle hair or loos of hair.
Causes: Malfunction of the thyroid, Hashimoto's disease-chronic autoimmune thyroiditis, insufficient iodine in the diet, surgical removal of the thyroid and destruction of thyroid with radioactive iodine. (in adults) insufficient secretion of TSH and TRH.
TX: Therapeutic strategy and lifelong replacement therapy (levothyroxine (T4) and Liothyronine (T3)).
hypothyroidism in lifespan issues? pregnancy and infants?
Pregnancy: in frist trimester can result in permanent neuropsychologic deficits in the child.
Infants: may be permanent or transient, can cause retardation and derangement of growth.