What long-term monitoring is needed following treatment of myxedema coma (crisis)?

Updated: Oct 10, 2018
  • Author: Mohsen S Eledrisi, MD, FACP, FACE; Chief Editor: George T Griffing, MD  more...
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Answer

Follow-up care after discharge is necessary to ensure adherence with thyroid hormone replacement.

If primary hypothyroidism was diagnosed, TSH levels are assessed every 4-6 weeks, and the dose of T4 is adjusted accordingly.

If hypothyroidism is secondary to pituitary dysfunction, free T4 levels are monitored. TSH level is not an accurate measure of thyroid function in this setting.


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