Open AccessHypothyroidism with too Many Associations Case Report
Author(s) -
Md. Abdur Razzak,
Fahd Bin Zia
Publication year - 2022
Publication title -
journal of armed forces medical college
Language(s) - English
Resource type - Journals
eISSN - 2224-7327
pISSN - 1992-5743
DOI - 10.3329/jafmc.v17i1.56722
Subject(s) - medicine , dyslipidemia , alopecia areata , depression (economics) , autoimmune thyroiditis , anemia , myopathy , pediatrics , thyroiditis , obesity , thyroid , immunology , economics , macroeconomics
Hypothyroidism is one of the common endocrine disorders. Amongst other causes, autoimmune hypothyroidism is clinically more important. It has got many adverse effects on metabolism, cardiovascular, musculoskeletal, fetomaternal and mental health. It's associated with obesity, dyslipidemia, IHD, inflammatory myopathy, depression etc. It is responsible for menorrhagia, subfertility, recurrent abortion, prematurity, fetomaternal morbidity and mortality. It may be associated with other organ specific or multisystem autoimmune diseases like SLE, vitiligo, alopecia, type-I DM, pernicious anemia and others. We have diagnosed a case of autoimmune hypothyroidism who had all the classic features of hypothyroidism. He had low FT4 and very high TSH. Autoimmunity was confirmed by high titer of anti TG and anti TPO antibody. In addition he had dimorphic anaemia, alopecia, diastolic hypertension, dyslipidemia, IHD, Vit D deficiency, myopathy, peripheral neuropathy, depression and dementia. His condition has been improved with Thyroxin replacement, lipid lowring drugs, anti anginal drugs, iron, calcium, folic acid, Vit-D supplementations, exercise, physiotherapy and other symptomatic and supportive measures. He was advised for consultation with dermatologist and periodic follow up.JAFMC Bangladesh. Vol 17, No 1 (June) 2021: 42-45