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
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.
Dept of Endocrinology and Metabolism, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
|How to cite this article:|
Goswami R, Shah P, Ammini A C. Thyrotoxicosis with osteomalacia and proximal myopathy. J Postgrad Med 1993;39:89-90
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Goswami R, Shah P, Ammini A C. Thyrotoxicosis with osteomalacia and proximal myopathy. J Postgrad Med [serial online] 1993 [cited 2022 May 26 ];39:89-90
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=1993;volume=39;issue=2;spage=89;epage=90;aulast=Goswami;type=0