E-ISSN 2277-338X | ISSN 2320-4664
 

Case Report 


Hyperthyroidism induced reversible hepatotoxicity a case report and brief review

Nikhil Anil Nadkharni, Ibrahim Masoodi, Ali Al Ahmari, Nisar ul Hassan Malik.

Abstract
The patients presenting with high liver enzymes have multiple etiologies ranging from hepatotoxic viruses, drugs, and various toxins. While viral hepatitis continues to be the leading cause of elevated liver enzymes, other metabolic and endocrine disorders also lead to elevated liver enzymes in a given patient. There is a paucity of data regarding hyperthyroidism and the high liver enzymes. We present the clinical scenario in a young male who presented with jaundice without viral prodrome or offending drug intake. The patient had no high-risk behavior, and on evaluation, he had negative viral serologies. Autoimmune profile was negative as well. The physical examination was suggestive of irregular pulse and normal blood pressure. On further evaluation hyperthyroidism was unraveled. Following treatment with antithyroid medication, the liver enzymes in the index case settled, and he had full clinical recovery, explaining the cause and effect relationship. Report on this case and brief literature review is presented. A good clinical examination often is a lead to the cause of disease and in a Jaundiced patient, hyperthyroidism can be one of the causes of high liver enzymes which must be ruled out in a given setting.

Key words: Hyperthyroidism; Elevated Liver Enzymes; Anti-thyroid Medication; Clinical Examination Clues


 
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Pubmed Style

Nadkharni NA, Masoodi I, Ahmari AA, Malik NuH. Hyperthyroidism induced reversible hepatotoxicity a case report and brief review. Int J Med Sci Public Health. 2018; 7(11): 950-953. doi:10.5455/ijmsph.2018.0823817082018


Web Style

Nadkharni NA, Masoodi I, Ahmari AA, Malik NuH. Hyperthyroidism induced reversible hepatotoxicity a case report and brief review. http://www.ijmsph.com/?mno=3899 [Access: November 21, 2018]. doi:10.5455/ijmsph.2018.0823817082018


AMA (American Medical Association) Style

Nadkharni NA, Masoodi I, Ahmari AA, Malik NuH. Hyperthyroidism induced reversible hepatotoxicity a case report and brief review. Int J Med Sci Public Health. 2018; 7(11): 950-953. doi:10.5455/ijmsph.2018.0823817082018



Vancouver/ICMJE Style

Nadkharni NA, Masoodi I, Ahmari AA, Malik NuH. Hyperthyroidism induced reversible hepatotoxicity a case report and brief review. Int J Med Sci Public Health. (2018), [cited November 21, 2018]; 7(11): 950-953. doi:10.5455/ijmsph.2018.0823817082018



Harvard Style

Nadkharni, N. A., Masoodi, . I., Ahmari, . A. A. & Malik, . N. u. H. (2018) Hyperthyroidism induced reversible hepatotoxicity a case report and brief review. Int J Med Sci Public Health, 7 (11), 950-953. doi:10.5455/ijmsph.2018.0823817082018



Turabian Style

Nadkharni, Nikhil Anil, Ibrahim Masoodi, Ali Al Ahmari, and Nisar ul Hassan Malik. 2018. Hyperthyroidism induced reversible hepatotoxicity a case report and brief review. International Journal of Medical Science and Public Health, 7 (11), 950-953. doi:10.5455/ijmsph.2018.0823817082018



Chicago Style

Nadkharni, Nikhil Anil, Ibrahim Masoodi, Ali Al Ahmari, and Nisar ul Hassan Malik. "Hyperthyroidism induced reversible hepatotoxicity a case report and brief review." International Journal of Medical Science and Public Health 7 (2018), 950-953. doi:10.5455/ijmsph.2018.0823817082018



MLA (The Modern Language Association) Style

Nadkharni, Nikhil Anil, Ibrahim Masoodi, Ali Al Ahmari, and Nisar ul Hassan Malik. "Hyperthyroidism induced reversible hepatotoxicity a case report and brief review." International Journal of Medical Science and Public Health 7.11 (2018), 950-953. Print. doi:10.5455/ijmsph.2018.0823817082018



APA (American Psychological Association) Style

Nadkharni, N. A., Masoodi, . I., Ahmari, . A. A. & Malik, . N. u. H. (2018) Hyperthyroidism induced reversible hepatotoxicity a case report and brief review. International Journal of Medical Science and Public Health, 7 (11), 950-953. doi:10.5455/ijmsph.2018.0823817082018





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