Myxedema Psychosis: Neuropsychiatric Manifestations and Rhabdomyolysis Unmasking Hypothyroidism

Table 1

Laboratory investigations upon admission and on the fourth day of hospitalization.

Lab value	Admission	Day 4
Hemoglobin (13-17 gm/dL)	11.4	10.8
Creatinine (44-80 μmol/L)	111	93
Sodium (135-145 mmol/L)	142	140
Potassium (3.5-5.1 mmol/L)	3.2	3.7
TSH (0.30-4.2 mIU/L)	56.6	ND
Thyroglobulin antibodies (<22 IU/mL)	ND	<0.9
Creatinine kinase (22-192 U/L)	3601	3129
ALT (0-33 U/L)	ND	26
AST (0-32 U/L)	ND	66

No labs were repeated afterwards. ND = not done; TSH = thyroid-stimulating hormone; ALT = alanine transaminase; AST = aspartate aminotransferase.