Impending myxedema as a manifestation of subclinical hypothyroidism in a case of systemic lupus erythematosus: A case report

This case, one of only 6 reported instances of myxedema coma occurring in subclinical hypothyroidism, underscores that this life-threatening condition can develop even without classic hypothyroid features, particularly amidst significant physiological stressors like sepsis and SLE. A high index of suspicion, prompt diagnosis based on biochemical findings, and immediate initiation of thyroid hormone replacement are critical for successful management.