A 55-year-old woman presented to hospital with a 2-month history of facial puffiness,
constipation, hoarse voice, fatigue and cold intolerance. She had no history of illness, and …

Background Hypothyroidism is diagnosed on the basis of laboratory tests because of the
lack of specificity of the typical clinical manifestations. There is conflicting evidence on …

SUMMARY A 58-yr-old woman presented with recurrent chest infections, breathlessness,
and orthopnea. She complained of nonspecific tiredness and aching limbs. A chest …

CASE► Sam j. is a 56-year-old man with a 2-day history of severe pain in the front of his
neck. he aches all over and says he had “a bad cold” a week ago, but no fever, chills, cough …

An 11-year-old girl presented with classical symptoms of hypothyroidism and was treated
with thyroxine 50 μg/day by her family doctor. She had been unwell for about 12 months …

A 32-year-old woman presents with weight loss of 6.4 kg (14 lb) during the past 8 months
and diarrhea of recent onset. Menstruation had ceased 10 weeks earlier. She appears …

We describe two cases in which the initial finding of renal impairment guided further
investigation leading to the diagnosis of hypothyroidism. In the first case, a 40-year-old …

Rhabdomyolysis is an uncommon but potentially life-threatening medical condition. The
acute muscle breakdown leads to the release of toxic muscle contents which can damage …

Hypothyroidism, a disorder of decreased thyroid hormone secretion diagnosed by increased
thyroid stimulating hormone (TSH) and low free triiodothyronine (FT3) and free thyroxine …

Objective We present a patient with long standing hypothyroidism who developed
hyperthyroidism secondary to Graves disease. Recognition of this disease phenomenon is …