Case Report
Myxedema Coma Complicated by Pancytopenia
Table 1
Summary of selected results.
| | Day 1 (range) | Day 3 | Day 9 | Day 13 | Day 20 |
| | WBC 1.4/nL (4.5–10.9) | WBC 0.76/nL | WBC 5.43/nL | WBC 5.64/nL | WBC 8.49/nL | | Hb 12.3 g/dL (12–16) | Hb 9.2 g/dL | Hb 8.1 g/dL | Hb 7.1 g/dL | Hb 9.1 g/dL | | Hct 33% (37–47) | Hct 27.1% | Hct 22.6% | Hct 21.8% | Hct 27.2% | | Plt 104/nL (130–400) | Plt 46/nL | Plt 85/nL | Plt 148/nL | Plt 388/nL | | Na 114 mmol/L (136–146) | | Na 141 mmol/L | | | | K 4.6 mmol/L (3.5–5.0) | | K 3.4 mmol/L | | | | Cl 78 mmol/L (98–106) | | Cl 100 mmol/L | | | | BUN 25 mg/dL (8–23) | | BUN 22 mg/dL | | | | Cr 0.34 mg/dL (0.50–0.90) | | Cr 0.43 mg/dL | | | | TSH 24.5 miU/L (0.27–4.20) | | | TSH 4.82 miU/L | | | Free T4 0.886 ng/dL (0.93–1.70) | | | Free T4 0.478 ng/dL | | | Total T4 3.7 μg/dL (4.5–11.7) | | | Total T4 2.34 | | | Free T3 0.989 pg/mL | | | | | | Total T3 36.31 ng/dL (80–200) | | | | |
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WBC, white blood cells; Hb, hemoglobin; Hct, hematocrit; Plt, platelet; Na, sodium; K, potassium; Cl, chloride; BUN, blood urea nitrogen; Cr, creatinine; TSH, thyroid-stimulating hormone; T4, thyroxine; T3, triiodothyronine.
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