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Journal of Case Reports
Myxedema Coma as Initial Clinical Presentation of Empty Sella Syndrome
Vinoth Kumar Sethuraman, Kavitha B
Department of General Medicine, Indira Gandhi Medical College & Research Institute, Puducherry, India.
Corresponding Author:
Dr. Vinoth Kumar Sethuraman
Email: kumarsv02@yahoo.com  
Received: 16-FEB-2018 Accepted: 17-SEP-2018 Published Online: 30-SEP-2018
DOI: http://dx.doi.org/10.17659/01.2018.0061
Background: Myxedema coma is a medical emergency seen in patients with primary hypothyroidism. The prognosis is poor if not diagnosed and treated early. Here we report a case of secondary hypothyroidism due to empty sella syndrome presenting with initial manifestation of myxedema coma which is exceedingly rare. Case Report: A middle aged lady presented with easy fatigability for four months, giddiness for one month and vomiting for four days. Clinical diagnosis of myxedema coma was made; she was treated with levothyroxine and laboratory evaluation revealed hypo-pituitarism due to empty sella syndrome. Conclusion: Myxedema coma is an endocrine emergency seen rarely in patients with secondary hypothyroidism but early detection and management reduces the mortality. 
Keywords : Coma, Empty Sella Syndrome, Hypothyroidism, Myxedema, Thyroxine.
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