Hypothyroidism with Multiple Associations: Case Report

    February 2022 in “ Journal of Armed Forces Medical College ”
    Md. Abdur Razzak, Fahd Bin Zia
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    TLDR The patient with autoimmune hypothyroidism improved after treatment for thyroid and associated conditions.
    The document reports a case of autoimmune hypothyroidism with a wide array of associated conditions in a patient who presented with classic symptoms of hypothyroidism, including low FT4 and high TSH levels, confirmed by high titers of anti-thyroglobulin (TG) and anti-thyroid peroxidase (TPO) antibodies. The patient also suffered from dimorphic anemia, alopecia, diastolic hypertension, dyslipidemia, ischemic heart disease (IHD), vitamin D deficiency, myopathy, peripheral neuropathy, depression, and dementia. Treatment with thyroxine replacement, lipid-lowering drugs, anti-anginal drugs, iron, calcium, folic acid, vitamin D supplements, exercise, physiotherapy, and other symptomatic and supportive measures improved the patient's condition. The patient was also advised to consult a dermatologist and undergo periodic follow-up.
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