Munankami Salina, Shrestha Manish, Amin Shefali, Bajracharya Abhishek, Paudel Rubina
General Medicine, Kathmandu Medical College, Kathmandu, NPL.
Internal Medicine, Tower Health Medical Group, Reading, USA.
Cureus. 2023 Jun 3;15(6):e39919. doi: 10.7759/cureus.39919. eCollection 2023 Jun.
Hashimoto's thyroiditis, a chronic autoimmune inflammation of the thyroid glands, is the most common cause of hypothyroidism in iodine-sufficient areas, which can have varied clinical manifestations. It is more common in females and usually has an insidious course. Most patients present with mild clinical symptoms, such as constipation, fatigue, and weakness. Symptoms are associated with a slight increase in thyroid-stimulating hormone (TSH) levels and the presence of thyroid antibodies. However, overt hypothyroidism is uncommon. We hereby present an interesting case of rhabdomyolysis secondary to severe hypothyroidism due to Hashimoto's thyroiditis.
桥本甲状腺炎是一种甲状腺的慢性自身免疫性炎症,是碘充足地区甲状腺功能减退最常见的原因,其临床表现多样。女性更为常见,通常病程隐匿。大多数患者表现出轻微的临床症状,如便秘、疲劳和虚弱。这些症状与促甲状腺激素(TSH)水平略有升高以及甲状腺抗体的存在有关。然而,明显的甲状腺功能减退并不常见。我们在此报告一例因桥本甲状腺炎导致严重甲状腺功能减退继发横纹肌溶解的有趣病例。