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Prolonged Spontaneous Hypothermia: Report of a Case Associated with Chronic Pancreatitis and a Pemphigoid Eruption

Ann Intern Med. 1966;65(2):316-320. doi:10.7326/0003-4819-65-2-316
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There are three principal types of human hypothermia. They are: [1] accidental—usually due to prolonged exposure to low environmental temperature; [2] induced—used as a therapeutic measure in various medical and surgical situations; and [3] spontaneous or pathologic—a manifestation of a disease state. Although the first two categories are not uncommon and have been well studied, the third is rare.

Spontaneous hypothermia is usually associated with severe hypothyroidism or myxedema coma (1). A case unrelated to hypothyroidism will be reported and discussed.

CASE REPORT: A 68-year-old Negro male was first admitted to the East Orange Veterans Administration Hospital on November 25,


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