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Case Reports in Endocrinology
Volume 2012 (2012), Article ID 237563, 4 pages
http://dx.doi.org/10.1155/2012/237563
Case Report

Hypothyroidism Complicating Nephropathy in a Diabetes Patient

1Department of Endocrinology, Pondicherry Institute of Medical Sciences, Puducherry 605014, India
2Department of Nephrology, Pondicherry Institute of Medical Sciences, Puducherry 605014, India
3Department of Pathology, Madras Medical Mission, Chennai 600037, India

Received 1 October 2012; Accepted 11 November 2012

Academic Editors: M. T. Garcia-Buitrago and O. Isozaki

Copyright © 2012 Jayaprakash Sahoo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe a patient with type 2 diabetes mellitus and autoimmune hypothyroidism who presented with elevated serum creatinine possibly due to subclinical rhabdomyolysis induced by hypolipidemic drug therapy in the background of diabetic nephropathy. Both hypothyroidism and rhabdomyolysis were asymptomatic in this case as evidenced by lack of classical clinical features of hypothyroidism despite elevated serum TSH and absent pigment cast in renal biopsy. The combination of diabetes mellitus and hypothyroidism is common in the general population and should not be forgotten in patients with diabetes and kidney disease.