Postoperative airway obstruction: A complication of a previously undiagnosed hypothyroidism

Benfari, Guido; Vincentiis, Marco de

doi:10.1016/j.otohns.2004.09.042

Cited by 11 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We report a case of laryngeal myxedema in a previously undiagnosed hypothyroidism patient presenting with acute shortness of breath, a common finding in most reported cases [4][5][6][7][8]. Our patient also had serositis with pleural and pericardial effusion alongside laryngeal myxedema.…”

Section: Discussionmentioning

confidence: 62%

Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report

Narayan,

Bhutra,

Kumar

et al. 2024

Cureus

View full text Add to dashboard Cite

Myxedema is a medical emergency with high mortality rates if not treated aggressively. Here, we present a middle-aged female with complaints of generalized body swelling for one year, shortness of breath, hoarseness of voice, neck swelling, and cough for 20 days. The patient was diagnosed to be having severe hypothyroidism with polyserositis. Contrast-enhanced computed tomography (CECT) of the neck and thorax revealed extensive soft tissue edema causing airway narrowing, bilateral pleural effusion, moderate pericardial effusion, and features of atypical pneumonia. The patient was started on levothyroxine and antibiotics as per cultures to which she had initially improved; however, she developed ventilator-associated pneumonia leading to sepsis, acute respiratory distress syndrome followed by refractory type 1 respiratory failure and succumbed.

show abstract

Section: Discussionmentioning

confidence: 62%

Supraglottic Myxedema Presenting as a Complication of Hypothyroidism: A Case Report

Narayan,

Bhutra,

Kumar

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…On review of the literature, only five prior case reports of supraglottic edema describing eight individual patients have been identified (4, 7-9, 11). Five of these cases occurred in the setting of recent vocal cord surgery with underlying hypothyroidism (4,9). Given the surgical intervention in these five patients, the exact etiology of laryngeal edema is unclear.…”

Section: Casementioning

confidence: 99%

Supraglottic Myxedema: Two Cases and a Review of the Literature

Prado¹,

Steinman²,

Munir³

et al. 2016

AACE Clinical Case Reports

View full text Add to dashboard Cite

Objective: We report two patients who presented with clinical symptoms of acute upper airway obstruction from presumed supraglottic myxedema and compare their clinical presentation, diagnosis, and management with previously reported cases. Methods: Clinical data, laboratory results, imaging and procedure reports were reviewed for both cases. A literature search was performed in MEDLINE using the terms "supraglottic myxedema", "myxedema", and "laryngeal edema". Relevant references were selected and reviewed. A 63-year-old man presented with confusion and facial and neck edema. The patient was subsequently intubated for airway protection. During intubation the epiglottis couldn't be visualized due to airway edema. Thyroid function testing revealed elevated thyroid stimulating hormone (TSH) and low free thyroxine (FT4). CT scan of the neck without contrast noted nonspecific mild, diffuse edema within the subcutaneous soft tissues. A 70-year-old man with a history of papillary thyroid cancer treated with total thyroidectomy and radioactive iodine presented with sore throat, stridor, lower eyelid edema and proptosis. Fiberoptic intranasal scope noted supraglottic edema. CT scan of the neck without contrast

show abstract