Thyrotoxicosis with osteomalacia and proximal myopathy.

Journal of Postgraduate Medicine

关键词: Adult;    Case Report;    Female;    Human;    Muscular Diseases;    etiology;    Osteomalacia;    complications;    Thyrotoxicosis;    complications;   

DOI  :  

来源: DOAJ

【 摘 要 】

A 36 year old lady, presented with symptoms of proximal myopathy was found to have a history of thyrotoxicosis for which she had taken carbimazole irregularly for 1-1/2 years. On admission, clinical signs of thyrotoxicosis were detected and confirmed by estimating serum T3 and T4. Neurological examination revealed generalised wasting, loss of power in the proximal muscles with a myopathy confirmed on EMG. Serum calcium, phosphorous levels, and a 24 hour urine calcium excretion were low. Alkaline phosphatase levels were high. A diagnosis of thyrotoxicosis with osteomalacia was made. The patient improved within 3 weeks of starting carbimazole and vitamin D.

【 授权许可】

Unknown