Abstract
Hashitoxicosis is the initial hyperthyroid phase of the patients with Hashimoto′s thyroiditis and usually this phase lasts for one to two months.We had a rare case of Hashimoto′s thyroiditis with prolonged phase of Hashitoxicosis and Hashitoxicosis induced cardiomyopathy. A 27 year old male presented with 6 months history of heat intolerance, sweating, tremors, weight loss and 3 week history of shortness of breath,palpitations and swelling of lower limbs. On examination, patient had exophthalmos, bilateral pitting pedal edema, goitre, tremors, tachycardia, tachypnea, raised JVP, S3, pansystolic murmurs in mitral and tricuspid areas. Thyroid prole showed elevated T3, T4 and suppressed TSH. Anti-TPO antibodies were elevated. USG neck and FNAC were suggestive of Hashimoto′s thyroiditis. 2D Echo showed dilated cardiomyopathy. Patient was started on anti thyroid drugs, diuretics and advised for follow up.
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