Hashimoto’s Thyroiditis with Subclinical Hypothyroidism and Multi-System Symptoms: A Case of a Middle-Aged Male

Waled AM Ahmed1,2 1Community Medicine Department, Faculty of Medicine, Al-Saeeda University, Sanaa, Yemen; 2Community Health Nursing Department, Faculty of Nursing, Al-Baha University, Al-Baha, Saudi ArabiaCorrespondence: Waled AM Ahmed, Email waled-ahmed@su-edu.netAbstract: Hashimoto’s thyroiditis (HT) is a chronic autoimmune disease with lymphocytic infiltration of the thyroid gland and autoantibodies against endogenous components. A 45-year-old male professor at an academic institution with positive family history for autoimmune diseases among his brother and sister came to clinical hospital because of unspecific systemic symptoms, elevated TSH, low normal Free T4 (fT4), positivity autoantibodies against the thyroid gland. The biochemical signs of inflammatory process were shown in a report and image form ultrasound of thyroid gland, this indicates enlargement and thyroiditis. The case was diagnosed by elevated TSH, positive anti-TPO and thyroid ultrasound as subclinical stage of HT. The treating physician had prescribed 50 micrograms levothyroxine per day with selenium and zinc supplements. The case emphasizes early detection and integrative management based on our experience about importance for interdisciplinary diagnostics when it comes to autoimmune thyroiditis together with multi-system involvement and non-specific complaints.Keywords: Hashimoto’s thyroiditis, anti-TPO antibodies, subclinical hypothyroidism, autoimmune disease, vitamin D deficiency, TSH, functional symptoms, HT