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   2009| January-April  | Volume 6 | Issue 1  
    Online since December 3, 2011

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Prevalence of musculoskeletal manifestations in thyroid disease
MG Pillai, V Kumaravel, B Nisha, C Hareesh, AG Unnikrishnan, V Nair, RV Jayakumar, H Kumar
January-April 2009, 6(1):12-16
Musculoskeletal symptoms and signs are common and may be the only presenting complaint in hypothyroidism. There are no published studies on this aspect of thyroid disease in our population Aim: To assess the prevalence of various musculoskeletal manifestations of hypothyroidism. Methods: Eighty eight consecutive patients with hypothyroidism and no other underlying chronic diseases were evaluated with questionnaire on musculoskeletal symptoms and physical examination for any abnormality in musculoskeletal system Results: 76.1 % had some symptom with our questionnaire and 45.5% had some physical abnormality. 77.8 % of patients with overt hypothyroidism were symptomatic whereas 72% patients with sub clinical hypothyroidism were symptomatic. 49.2%> of patients with overt hypothyroidism had some abnormality in physical examination, the corresponding figure was 36% for sub clinical hypothyroidism. Conclusion : Signs and symptoms of musculoskeletal involvement are very common in hypothyroidism.
[ABSTRACT]   Full text not available  [PDF]
  1,680 457 -
Uncommon presentation of primary hypothyroidism
A Mythili, K Venkateswarlu
January-April 2009, 6(1):17-20
The clinical presentation of hypothyroidism often masquerades several illnesses. Dyslipidemia is a common accompaniment of hypothyroidism and these patients are more prone for statin induced myopathy. Treatment with levothyroxine itself is sufficient to correct the dyslipidemia We report a case of primary hypothyroidism that presented with hyperuricemia, intractable hyperlipidemia and developed myopathy with usage of lipid lowering agents.
[ABSTRACT]   Full text not available  [PDF]
  993 244 -
Management of maternal hypothyroidism: A practical perspective
AG Unnikrishnan
January-April 2009, 6(1):6-11
The occurrence of Hypothyroidism in pregnancy is linked to adverse effects on mother and the fetus. Recent research has indicated that in the first half of pregnancy, an adequate thyroid hormone level could play an important role in fetal brain development. Clinical signs of hypothyroidism in pregnancy are not very specific and sensitive. Therefore, serum TSH estimation is the best way to make a diagnosis. Hypothyroidism in pregnancy, whether overt or subclinical, requires therapy with levothyroxine. Frequent monitoring and precise dose titration are required. The aim of therapy is to achieve a TSH value that is < 2.5 mu/L, and this is important to ensure a successful pregnancy outcome.
[ABSTRACT]   Full text not available  [PDF]
  837 264 -
Thyroid images
Sundaram , A Premkumar, B Nisha
January-April 2009, 6(1):21-22
Full text not available  [PDF]
  582 197 -
Thyroid watch
MG Pillai
January-April 2009, 6(1):23-24
Full text not available  [PDF]
  526 193 -
Thyrotoxicosis and thrombocytopenia - An uncommon association
TK Sabeer
January-April 2009, 6(1):25-25
Full text not available  [PDF]
  504 195 -
Not just next to the thyroid! Searching for the elusive parathyroid adenoma
AG Unnikrishnan, T Babu, A Premkumar, RV Jayakumar, H Kumar
January-April 2009, 6(1):3-5
Full text not available  [PDF]
  383 213 -