Pancytopenia in a surgical patient, a rare presentation of hyperthyroidism.

Abstract:

BACKGROUND:Pancytopenia is a rare complication of hyperthyroidism. Various mechanisms have been described such as immunological, bone marrow suppression. The possibility of hyperthyroidism should be considered in patients with unexplained pancytopenia. There are many case reports showing the association between hyperthyroidism and pancytopenia. All of these reports show association between Graves disease and pancytopenia but our case shows association between Multinodular goitre and pancytopenia. Besides it is uncommon to find such association in a surgical patient. CASE PRESENTATION:This case report describes a 62 yr old hindu female with splenic injury and pancytopenia. On further investigations the patient was found to have hyperthyroidism. CONCLUSION:Though the definite mechanism regarding the association of pancytopenia with hyperthyroidism isn't clear, various cases have been described in the literature. This case shows the diagnostic dilemma that can occur in patients with pancytopenia. Any patient with unexplained pancytopenia should undergo thyroid function tests to rule out hyperthyroidism.

journal_name

BMC Surg

journal_title

BMC surgery

authors

Jha P,Singh YP,Ghimire B,Jha BK

doi

10.1186/1471-2482-14-108

subject

Has Abstract

pub_date

2014-12-15 00:00:00

pages

108

issn

1471-2482

pii

1471-2482-14-108

journal_volume

14

pub_type

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