Rhabdomyolysis Due To Hashimoto’s Thyroiditis Aggravated By Asthma Exacerbation

Abstract

Hashimoto’s thyroiditis is the most common form of primary hypothyroidism. Patients may present with muscular manifestations like weakness, stiffness, pain and elevated muscle enzymes. Rhabdomyolysis has been reported in severe asthma. This is a case of a middle aged male, who presented with acute exacerbation of asthma accompanied by severe muscle aches and pain, and was found to have rhabdomyolysis. Following treatment for asthma, his symptoms of dyspnoea and muscle aches decreased, but rhabdomyolysis was persistent. On further evaluation, he was found to have Hashimoto’s thyroiditis. He was managed with intravenous fluids and levothyroxine along with nebulisations and intravenous steroids, following which he improved.