Article Text

Download PDFPDF
Rhabdomyolysis: a rare complication of Hashimoto’s thyroiditis precipitated by statin therapy
  1. Jayameena Peringat1,
  2. Robin George Manappallil2,
  3. Ummer Karadan3
  1. 1Department of Nephrology, Baby Memorial Hospital, Calicut, Kerala, India
  2. 2Department of Internal Medicine, Baby Memorial Hospital, Calicut, Kerala, India
  3. 3Department of Neurology, Baby Memorial Hospital, Calicut, Kerala, India
  1. Correspondence to Dr Robin George Manappallil, drrobingeorgempl{at}


Hashimoto’s thyroiditis (HT) or chronic lymphocytic thyroiditis is the most common form of primary hypothyroidism. Muscular manifestations like weakness, pain, stiffness and elevated muscle enzymes have been noticed in hypothyroidism. Statins are also known to cause myositis and rhabdomyolysis. This is a case of a middle-aged man, on statin therapy, who presented with severe muscle aches and pain and was found to have rhabdomyolysis. Further evaluation revealed an underlying HT as the culprit for his condition. He was managed with intravenous fluids and levothyroxine along with cessation of statins, following which he improved.

  • thyroid disease
  • acute renal failure

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors JP: critical revision of manuscript and treating nephrologist. RGM: concept and design of case report, reviewed the literature, manuscript preparation and treating physician. UK: critical revision of manuscript and treating neurologist.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

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