title: Rhabdomyolysis and acute renal impairment in a patient with hypothyroidism: a case report.
abstract: We report the case of a 33-year-old male with hypothyroidism who developed acute renal impairment with rhabdomyolysis after strenuous physical activity (snow shoveling). His thyroid function test confirmed marked hypothyroidism. Severe elevation of serum CK consistent with rhabdomyolysis was noted and an elevated creatinine indicated acute renal impairment. Patient's condition improved significantly after starting him on thyroid hormone replacement therapy and aggressive hydration. Acute renal impairment with rhabdomyolysis in patients with hypothyroidism is quite rare and we expect that this case report adds to the existing literature on this subject. We also emphasize that thyroid status should be evaluated in patients with unexplained acute renal impairment and presenting with the symptoms of muscle involvement.
authors.affiliation: Department of Neurology, West Virginia University, 1 Medical Center Drive, Morgantown, WV 26505, USA.
authors.forename: Arshi
authors.identifier: 0000-0002-9270-2100
authors.initials: A
authors.lastname: Naz
authors.affiliation: Department of Medicine, West Virginia University, 1 Medical Center Drive, Morgantown, WV 26505, USA.
authors.forename: Mayada
authors.initials: M
authors.lastname: Issa