Abstract

Poor compliance is the most common cause of elevated thyroid-stimulating hormone in patients with hypothyroidism who are on levothyroxine replacement. We present an interesting report of a patient who was a known case of primary hypothyroidism and had been euthyroid for more than 5 years on 75 μg daily levothyroxine, suddenly became grossly hypothyroid and diagnosed to have Henoch–Schonlein purpura (HSP) with nephritis.

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