Abstract
Hypothyroidism's neurological manifestations are uncommon as first symptoms, and they usually appear later in the disease's course.Muscle hypertrophy is a very uncommon occurrence in hypothyroid people 1. Hoffmann's syndrome is a kind of hypothyroidism thatmanifests as muscle stiffness and pseudohypertrophy in adults. In most cases of hypothyroid myopathy, laboratory tests reveal elevatedlevels of muscle enzyme. The electro physiological investigation may reveal signs that indicate myopathy, neuropathy, or a combinedpattern of myopathy and neuropathy. Hormone replacement therapy 7 restores symptoms and normalises enzyme levels in the blood.Now, presenting a case of young age male presenting with hypothyroidism having features of calf muscle hypertrtrophy
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