Vol. 25 No. 3 (2025): Juli-September
Open Access
Peer Reviewed

Hypothyroidism with Myxedema Coma Complications: A Review of Articles during November 2024

Authors

Ni Made Ayu Mas Sista Paramadinda , Siti Zahroni Aulia , Fadila Rahmawati , Alana Akmal Yuar , Perlin Nigel Valencia , Annisa Salsabila Qadri , Yaskuna Urfi Rabbani , Baiq Sheila Oktalia Hakim , Rizki Yolanda , Galang Edi Wibawa

DOI:

10.29303/jbt.v25i3.9984

Published:

2025-08-20

Downloads

Abstract

Hypothyroidism is a condition characterized by decreased thyroid hormone production due to impaired thyroid or hypothalamic-pituitary gland function. Hypothyroidism is more common in women due to iodine deficiency. This condition can also be caused by autoimmune disorders. Symptoms of hypothyroidism vary, from mild, with few or no symptoms, to severe. Most symptoms are variable, vague, and delayed in onset. This paper aims to provide a comprehensive understanding of the diagnosis and management of hypothyroidism complicated by myxedema coma. The writing method used in this literature review is references from various Indonesian and English-language literature. The literature search was conducted during November 2024, with 10 articles obtained. The review results showed that severe and uncontrolled hypothyroidism can lead to myxedema coma. Myxedema coma is a condition characterized by decreased consciousness accompanied by generalized edema. This condition frequently associated with hypothermia and hyponatremia. Myxedema coma can be diagnosed using a scoring system. Therefore, an understanding of how to diagnose and properly manage hypothyroidism with complications of myxedema coma is needed for early detection so as not to worsen the patient's prognosis.

Keywords:

Hypothyroidism Myxedema coma Thyroid hormone

References

American Thyroid Association (2019). Hypothyroidism. Falls Church: American Thyroid Association. Available at: https://www.thyroid.org/wp-content/uploads/patients/brochures/Hypothyroidism_web_booklet.pdf.

Anggraini, D., & Fharel, M. (2025). Peran Thyroid Stimulating Hormone pada Bayi Baru Lahir. Scientific Journal, 4(1), 23-29. https://doi.org/10.56260/sciena.v4i1.188

Bereda, G. (2023). Definition, causes, pathophysiology, and management of hypothyroidism. Mathews Journal of Pharmaceutical Science, 7(1), 1-5. https://doi.org/10.30654/MJPS.10014

Chaker, L., Razvi, S., Bensenor, I. M., Azizi, F., Pearce, E. N., & Peeters, R. P. (2022). Publisher correction: hypothyroidism. Nature Reviews. Disease Primers, 8(1). https://doi.org/10.1038/s41572-022-00357-7.

Cotama, C. R., & Yulistiani, Y. (2025). Pola Pengobatan Badai Tiroid pada Pasien Lanjut Usia. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 16(1), 330-342. http://dx.doi.org/10.33846/sf16166

Decroli, E., & Kam, A. (2017). Dampak Klinis Thyroid-Stimulating Hormone. Jurnal Kesehatan Andalas, 6(1), 222-230. https://doi.org/10.25077/jka.v6i1.674

Elshimy G, Chippa V, Correa R. Myxedema. [Diperbarui 14 Agustus 2023]. Dalam: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Kelgaonkar, A.M. (2022) ‘Pharmacological and Non-Pharmacological Strategies for Managing Hypothyroidism. International Journal of Creative Research Thoughts, 10(1), pp. 479–485. www.ijcrt.org.

Mathew, V., Misgar, R. A., Ghosh, S., Mukhopadhyay, P., Roychowdhury, P., Pandit, K., ... & Chowdhury, S. (2011). Myxedema coma: a new look into an old crisis. Journal of thyroid research, 2011(1), 493462. https://doi.org/10.4061/2011/493462.

Mukhlisatunnafsi, L. (2024). Hipotiroid Kongenital: Diagnosis, Manifestasi Klinis, Dan Penatalaksanaan. Jurnal Medika Hutama, 5(02 Januari), 3832-3841. https://jurnalmedikahutama.com/index.php/JMH/article/view/684

Mutalazimah, M., Mulyono, B., Murti, B., & Azwar, S. (2017). Kajian patofisiologis gejala klinis dan psikososial sebagai dampak gangguan fungsi tiroid pada wanita usia produktif. Jurnal Kesehatan, 6(1), 1-14. https://journals.ums.ac.id/jk/article/view/5506

Muthmainnah, A., & Rustam, R. P. (2024). Laporan Kasus Hipertiroidisme pada Kehamilan: Hasil Ibu dan Neonatal. JOMIS (Journal of Midwifery Science), 8(1), 61-70.

Patil, N.et al. (2024). Hypothyroidism. StatPearls Publishing. Available at: https://www.ncbi.nlm.nih.gov/books/NBK519536/

Suryantini, N. K. M., Putri, L. L., Salim, B. H., Mawaddah, A., & Triani, E. (2024). Gangguan Hormon Tiroid: Hipotiroidisme. Jurnal Ilmu Kedokteran dan Kesehatan, 11(6), 1227-1234.

Talha, A., Houssam, B., & Brahim, H. (2020). Myxedema coma: a review. European Journal of Medical and Health Sciences, 2(3). doi:https://doi.org/10.24018/ejmed.2020.2.3.349.

Tarigan, M. B., & Siahaan, J. M. (2021). Diagnosis Dini Dan Tatalaksana Hipotiroid. Majalah Ilmiah Methoda, 11(2), 145-148. https://doi.org/10.46880/methoda.vol11no2.pp145-148.

Wenilia, R. (2024). Hypothyroid and Heart Disease. Jurnal Medika Hutama, 6(01 Oktober), 4084-4095. https://jurnalmedikahutama.com/index.php/JMH/article/view/720

Wiersinga, W.M. (2021) ‘Myxedema and Coma (Severe Hypothyroidism)’, Endotext [Preprint]. Available at: http://www.ncbi.nlm.nih.gov/pubmed/25905238.

Yurizali, B., & Adhyka, N. (2024). Profil Tingkat Hormon Stimulasi Tiroid (TSH) dan Kondisi Kesehatan dalam Studi Populasi Dewasa: Analisis Data menggunakan SPSS. Jurnal Kedokteran Dan Kesehatan, 20(2), 124-137. https://doi.org/10.24853/jkk.20.2.124-137

Author Biographies

Ni Made Ayu Mas Sista Paramadinda, Mataram University

Author Origin : Indonesia

Rizki Yolanda, Universitas Mataram

Author Origin : Indonesia

Downloads

Download data is not yet available.

How to Cite

Paramadinda, N. M. A. M. S., Aulia, S. Z., Rahmawati, F., Yuar, A. A., Valencia, P. N., Qadri, A. S., … Wibawa, G. E. (2025). Hypothyroidism with Myxedema Coma Complications: A Review of Articles during November 2024. Jurnal Biologi Tropis, 25(3), 4528–4537. https://doi.org/10.29303/jbt.v25i3.9984

Most read articles by the same author(s)

Similar Articles

1 2 3 4 > >> 

You may also start an advanced similarity search for this article.