Myxedema Coma in a Patient Recovering from Non Thyroidal Illness Syndrome

myxedema coma is one of the endocrine emergencies with high mortality rates even with treatment and usually associated with sever biochemical marker of hypothyroidism, unless it secondary hypothyroidism there is few myxedma coma cases with mildly elevated TSH. we describe a patient who presented with typical picture of myxedma coma with mildly elevated TSH secondary to non thyroidal illness, this has not been reported yet.