Concluded Case

POLYARTHRITIS DUE TO HYPOTHYROIDISM

22 year old female Hypothyroidism She is on 125mcg of Thyroxine Complains of pain, redness, tenderness ,warmth of multiple joints -1st MTP, hand ,knee, heel Generalized weakness, easy fatiguability Pain resolving by taking NSAIDS but relief only when taken. Please suggest appropriate Advice and treatment options

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Concluded answer

Dose of Thyromorm should be reduced to 100mcg. Check free T4 as well. Give calcium and vitamin D3 supplements.

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NEED'S.. TO REDUCE DOSE OF.. THYROXINE.. WITH CLINICAL CORRELATION.. REPEAT TFT AFTER.. MONTH.. ENDOCRINOLOGIST OPINION..

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125 mcg Thyroxin - TSH 0.17 ADV - reduce dose of Thyroxin to 100 mcg Multiple joint pain Check uric acid RA factor anti cyclic citrullinated peptide antibody

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Reduce the thyroxine dose by 12.5mcg. Add calcium and vit D. Anti CCP. Sr PTH level.

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Any h/o morning stiffness Rule out Lupus, Rule out RA by anti CCP test Rule out other inflammatory arthritis Need x-rays of lumber spine ,pelvis with both hips

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Check Covid status Inflammatory markers are high Other possibility is inflammatory arthritis

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Reduce Eltroxin gradually & titer the dose by thyroid profile month ly interval

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No gout,No R.A. ESR & CRP raised. Joint pains(Polyarthritis) due to Hypothyroidism . Reduce dose of Thyroxin,rpt thyroid profile and consult Endocrinologist for needful .

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SUGGESTIVE. OF POLYARTHRITIS SECONDARY. TO THYROID. DISORDER NICELY . DISCUSSED. IN DETAILS

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Dose of Thyromorm should be reduced to 100mcg. Check free T4 as well. Give calcium and vitamin D3 supplements.

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0

Reduce dose of thyroxín

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