A nearly missed Hashimoto’s Thyroiditis: A case of refractory anaemia / Sharifah Azimah Wan Ali ... [et al.]

Wan Ali, Sharifah Azimah and Mohamed-Yassin, Mohamed-Syarif and Abdul-Razak, Suraya (2020) A nearly missed Hashimoto’s Thyroiditis: A case of refractory anaemia / Sharifah Azimah Wan Ali ... [et al.]. Journal of Clinical and Health Sciences, 5 (1). pp. 75-78. ISSN 0127-984X


This is a case of a 68-year-old man who was diagnosed late with Hashimoto’s thyroiditis following a few admissions for symptomatic anaemia. Although hypothyroidism is common among the elderly, the classic symptoms are less likely to be evident and anaemia can be the first sign of hypothyroidism. This patient had multiple comorbidities including ischaemic heart disease, diabetes and chronic kidney disease which might have contributed to the delay in finding the underlying cause of his anaemia. He initially presented with symptomatic anaemia and received blood transfusions and iron supplementation. On subsequent follow up, his anaemia failed to improve. He was then referred to our primary care clinic. Hashimoto’s thyroiditis was diagnosed based on his clinical features, thyroid function test results and anti- thyroid peroxidase level. This case highlights the importance of determining the cause of anaemia as his haemoglobin level improved significantly after thyroxine was commenced. It also serves as a reminder that hypothyroidism should be considered in patients with anaemia, especially in those with uncertain aetiology.


Item Type: Article
Email / ID Num.
Wan Ali, Sharifah Azimah
Mohamed-Yassin, Mohamed-Syarif
Abdul-Razak, Suraya
Subjects: R Medicine > RA Public aspects of medicine > Public health. Hygiene. Preventive Medicine > Primary Health Care
R Medicine > RC Internal Medicine > Specialties of internal medicine > Diseases of the endocrine glands. Clinical endocrinology
Divisions: Universiti Teknologi MARA, Selangor > Puncak Alam Campus > Faculty of Medicine
Journal or Publication Title: Journal of Clinical and Health Sciences
UiTM Journal Collections: UiTM Journal > Journal of Clinical and Health Sciences (JCHS)
ISSN: 0127-984X
Volume: 5
Number: 1
Page Range: pp. 75-78
Keywords: Hashimoto’s thyroiditis; hypothyroidism; normochromic normocytic anaemia; primary care
Date: 30 June 2020
URI: https://ir.uitm.edu.my/id/eprint/44118
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