Walker Jennifer A, Miles Zachary
Emergency Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, USA.
Emergency Medicine, Burnett School of Medicine at Texas Christian University, Fort Worth, USA.
Cureus. 2024 Aug 12;16(8):e66679. doi: 10.7759/cureus.66679. eCollection 2024 Aug.
Patients frequently present to the emergency department (ED) with non-specific complaints such as body aches and generalized weakness, which can have an extensive differential diagnosis. Hypothyroidism and rhabdomyolysis are known causes of generalized weakness and body aches but are usually considered separate entities. In this article, we describe a patient who presented to the ED with symptoms including generalized weakness and muscle aches and was diagnosed with rhabdomyolysis. She presented days later with ongoing, worsening symptoms and was diagnosed with hypothyroid-induced rhabdomyolysis and acute kidney injury. Patients who present with non-specific complaints may have delayed diagnoses that can lead to progression of their disease. Patients with hypothyroidism can develop non-traumatic rhabdomyolysis which can later lead to acute kidney injury. This case illustrates the importance of keeping a wide differential when evaluating patients with generalized complaints and recognizing hypothyroidism as a potential cause of rhabdomyolysis.
患者经常因身体疼痛和全身无力等非特异性症状前往急诊科就诊，这些症状可能有广泛的鉴别诊断。甲状腺功能减退和横纹肌溶解是已知的全身无力和身体疼痛的病因，但通常被视为不同的病症。在本文中，我们描述了一名患者，她因全身无力和肌肉疼痛等症状前往急诊科就诊，被诊断为横纹肌溶解。几天后，她症状持续且加重，被诊断为甲状腺功能减退诱发的横纹肌溶解和急性肾损伤。出现非特异性症状的患者可能会延迟诊断，从而导致病情进展。甲状腺功能减退患者可发生非创伤性横纹肌溶解，随后可能导致急性肾损伤。该病例说明了在评估有全身症状的患者时保持广泛鉴别诊断以及认识到甲状腺功能减退是横纹肌溶解潜在病因的重要性。
