Unusual Presentation of Primary Hypothyroidism
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 13, Issue 6
Abstract
Primary hypothyroidism may present with myriad of unusual presentation apart from typically described signs and symptoms. We report an unusual case of primary hypothyroidism clinically presenting as acute psychosis and radiologically mimicking as pituitary macroadenoma. A 19-year-old female presented with h/o abnormal behaviour in the form of auditory hallucination, fearfulness, loss of memory and inability to recognise family members six months back. She also gave h/o multiple joint pain, easy fatigability, facial puffiness, somnolence, progressive weight gain, constipation and cold intolerance for similar duration. MRI brain revealed enlarged pituitary, while the thyroid function analysis pointed towards primary hypothyroidism. Patient improved with LT4.
Authors and Affiliations
Sandeep Kr. Agarwal, Dipti Sarma, Uma Kaimal Saikia, Bipul Choudhury
Keywords
Related Articles
- EP ID EP340856
- DOI 10.9734/BJMMR/2016/23244
- Views 68
- Downloads 0
Assessment of Levels of Oral Hygiene Awareness, Knowledge, Attitude and Practice among the Students of a Government School in Karachi
Aims: The object of this study was to assess the levels of oral hygiene awareness, knowledge, and practice of the children of a Govt. school belonging to low socioeconomic class in Karachi, and to attract more of the hea...
A Cardiac Mouse Model for Nongenomic Mineralocorticoid Receptor Effects
Aim: As a ligand-dependent transcription factor the mineralocorticoid receptor (MR) regulates water and electrolyte homeostasis in epithelial tissues but also plays a crucial role in the pathogenesis of cardiovascular di...
Evaluation of a Chromogenic Medium for the Detection of ESBL with Comparison to Double Disk Synergy Test
Background: Extended Spectrum Beta Lactamase (ESBL) producing bacterial strains are the major causes of nosocomial and community-acquired infections worldwide. The aim of the study was to evaluate the effectiveness of Br...
Chronic Low-dose Step-up Protocol in Treating Women with Unexplained Infertility: (37.5 Units Versus 75 Units of Follitropin Alpha as the Initial Dose)
Aims: To compare the treatment outcome of the 37.5 Units/day follitropin-alpha (Study Group) with 75 Units/day (Control Group) as the initial dose for chronic low-dose step-up ovulation induction for unexplained infertil...
Mild-Tourniquet Induced Ischaemia-reperfusion Injury Results in Changes to Haematological, Haemostatic and Inflammatory Parameters
Background: Ischaemia-reperfusion injury (IRI) is an underlying condition in cardiovascular disease such as arthrosclerosis and stroke, and occurs during surgery that involves the application of a tourniquet. These clini...