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Case Reports
. 2021 Jan 17;13(1):e12746.
doi: 10.7759/cureus.12746.

Rhabdomyolysis Secondary to Hypothyroidism: Report of a Case

Mohsen S Alshamam  1   2 , Dawa O Gurung  1 , Nso Nso  1 , Merjona Saliaj  3 , Adja Seitaj  4
Affiliations
Case Reports

Rhabdomyolysis Secondary to Hypothyroidism: Report of a Case

Mohsen S Alshamam et al. Cureus. .

Abstract

Rhabdomyolysis has many causes; however, hypothyroidism is a rare cause of such a condition. Usually, management is similar in many cases, but some exceptions do exist, especially in the case of hypothyroidism. Thus, we reviewed the literature to investigate further precipitant factors, clinical presentations, complications, management, and prognoses. We report a 19-year-old male with a history of hypothyroidism who was brought in for questionable suicidal ideation. Although asymptomatic, he was found to have an acute kidney injury (AKI). Further investigations revealed significantly elevated levels of creatine kinase (CK) and thyroid-stimulating hormone (TSH) in the setting of medication non-compliance. Management with intravenous (IV) fluids and thyroid hormone replacement resulted in an improvement in AKI and CK levels.

Keywords: acute kidney injury; elevated ck; hypothyroidism; myoglobinuria; rhabdomyolysis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Lab trends before and after levothyroxine initiation
See this image and copyright information in PMC

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