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Hashimoto’s thyroiditis aggravated by goitrogenic diet presenting as rhabdomyolysis worsened by alcohol intake
  1. Robin George Manappallil1,
  2. Rajesh Muralidharan2,
  3. Sneha Shalu3 and
  4. Fathima Haneef2
  1. 1Internal Medicine, Baby Memorial Hospital, Calicut, Kerala, India
  2. 2Cardiology, Baby Memorial Hospital, Calicut, Kerala, India
  3. 3Department of Orthodontics, Elite Dental Studio, Calicut, Kerala, India
  1. Correspondence to Dr Robin George Manappallil; drrobingeorgempl{at}


Hashimoto’s thyroiditis (HT) is the most common form of primary hypothyroidism. Several muscular manifestations like pain, weakness, stiffness and elevated muscle enzymes have been noticed in hypothyroidism. Alcohol is also known to cause myositis and rhabdomyolysis. Patients with thyroid should avoid certain foods like broccoli, cauliflower and cabbage as they contain goitrogens. This is a case of a young man who presented with severe muscle aches and pain and was found to have rhabdomyolysis. Further evaluation revealed an underlying HT. Moreover, he had been consuming raw broccoli, which is goitrogenic, and alcohol which worsened the rhabdomyolysis. He was managed with levothyroxine and intravenous fluids, following which he improved.

  • thyroid disease
  • acute renal failure

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  • Contributors RGM: design and concept, manuscript preparation and review, treating physician. RM: critical review of manuscript and treating cardiologist. SS: critical review of manuscript and treating orthodontist. FH: resident in charge.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.