Atypical Presentation of Hypothyroidism Mimicking Rheumatism: A Case Report
Introduction: Hypothyroidism typically manifests as tiredness, somnolence, weight gain, cold intolerance, hair loss, menstrual abnormalities, and musculoskeletal symptoms. Non-specific musculoskeletal symptoms are common and impair the patient’s quality of life. Hypothyroid myopathy has been describ...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mashhad University of Medical Sciences
2024-10-01
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| Series: | Patient Safety and Quality Improvement Journal |
| Subjects: | |
| Online Access: | https://psj.mums.ac.ir/article_25417_fd0be62bc77afba034799c1f1cab5314.pdf |
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| Summary: | Introduction: Hypothyroidism typically manifests as tiredness, somnolence, weight gain, cold intolerance, hair loss, menstrual abnormalities, and musculoskeletal symptoms. Non-specific musculoskeletal symptoms are common and impair the patient’s quality of life. Hypothyroid myopathy has been described as fatigue, myalgia, cramps, stiffness, myoedema, and weakness. Case Report: Here, we present a patient with muscular cramps and numbness of the toes, initially diagnosed with rheumatism. After a year of treatment with no positive results, the patient was diagnosed with hypothyroidism due to abnormal levels of thyroid hormone. Three months after treatment with levothyroxine, the patient experienced a complete resolution of symptoms. Conclusion: This particular case underscores the crucial need to consider hypothyroidism as a differential diagnosis in all patients with unexplained musculoskeletal symptoms. By doing so, we can avoid potential misdiagnoses and ensure timely and effective treatment. |
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| ISSN: | 2345-4482 2345-4490 |