Treatment: Prompt recognition and diagnosis of myxedema is required. It is a fatal condition if left untreated, and myxedema coma is precipitated by a total lack of thyroid hormone. Thyroid replacement with levothyroxine (synthetic T4) is required. Supportive care is necessary until the patient can be adequately stabilized. Determining the cause of the hypothyroidism is necessary to probe for thyroid cancer, pituitary problems, or other hypothalamic disease. Prompt recognition of the skin manifestations and referral to an endocrinologist can be life-saving. Once proper thyroid replacement has been achieved, the skin and hair findings slowly resolve over time.
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