Hypothyroid Patients with Positive Thyroid Antibodies and Relation to Nerve Conduction Study Findings

Abstract

Neuropathies are common manifestations of more than half the patients attending medical out patientdepartments . These neuropathies could be due to many causes. Some of the patients are not diabeticsor alcoholics and thyroid profile revealed hypothyroidism . Most of the patients were not on thyroidsupplementation and some are on irregular treatment. Primary symptoms are vague not pointing to eitherthyroid deficiency or diabetes mellitus complained of lethargy , pain in the fingers stabbing in nature ,wightgain, dryskin ,constipation . Nerve conduction studies on median and ulnar nerves in these patients withoutdiabetes and other deficiency disorders point to miss hypothyroid state in these patients, as stress is put ondiagnosing more common conditions like diabetes mellitus. If these conditions are excluded it is not difficultto diagnose hypothyroid conditions.