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| CASE REPORT |
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| Year : 1993 | Volume
: 39
| Issue : 2 | Page : 89-90 |
Thyrotoxicosis with osteomalacia and proximal myopathy.
R Goswami, P Shah, AC Ammini
Dept of Endocrinology and Metabolism, All India Institute of Medical Sciences, Ansari Nagar, New Delhi., India
Correspondence Address:
R Goswami
Dept of Endocrinology and Metabolism, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 0008169871 
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.
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