title: Hypothyroidism complicating nephropathy in a diabetes patient.
abstract: We describe a patient with type 2 diabetes mellitus and autoimmune hypothyroidism who presented with elevated serum creatinine possibly due to subclinical rhabdomyolysis induced by hypolipidemic drug therapy in the background of diabetic nephropathy. Both hypothyroidism and rhabdomyolysis were asymptomatic in this case as evidenced by lack of classical clinical features of hypothyroidism despite elevated serum TSH and absent pigment cast in renal biopsy. The combination of diabetes mellitus and hypothyroidism is common in the general population and should not be forgotten in patients with diabetes and kidney disease.
authors.affiliation: Department of Endocrinology, Pondicherry Institute of Medical Sciences, Puducherry 605014, India.
authors.forename: Jayaprakash
authors.initials: J
authors.lastname: Sahoo
authors.forename: Ilangovan
authors.initials: I
authors.lastname: Veerappan
authors.forename: Anila
authors.initials: A
authors.lastname: Abraham
authors.forename: Somasundaram
authors.initials: S
authors.lastname: Hariharan