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Dtsch Med Wochenschr 2018; 143(06): 397-405
DOI: 10.1055/s-0043-111728
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© Georg Thieme Verlag KG Stuttgart · New York

Thyreotoxische Krise und Myxödemkoma

Thyroid Storm and Myxedema Coma
Malte Milkau
,
Friedhelm Sayk
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Publication History

Publication Date:
15 March 2018 (online)

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Abstract

Thyroid storm and myxedema coma are the most severe clinical forms of thyroid dysfunction. While both hyper- and hypothyroidsm are common diseases, thyroid storm and myxedema coma are rare. Due to their unspecific signs and symptoms they are often difficult to diagnose. Both disorders are medical emergencies, which still show a significant mortality. The following article summarizes diagnostic tools and treatment options for these disorders

Die thyreotoxische Krise und das Myxödemkoma stellen lebensbedrohliche Verlaufsformen der Hyper- bzw. Hypothyreose dar. Sie sind jedoch nicht nur Extremformen eines klinischen Spektrums, sondern auch Entitäten mit eigenen Charakteristika. Die Abgrenzung zu noch kompensierten Formen ist unscharf und selbst bei suffizienter multimodaler Therapie gehen sie mit einer relevanten Mortalität einher.

Schlüsselwörter

Thyreotoxische Krise - Myxödemkoma - Funktionsstörungen der Schilddrüse

Key words

thyroid storm - myxedema - myxedema coma
 

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