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Revista Clínica de Medicina de Familia
On-line version ISSN 2386-8201Print version ISSN 1699-695X
Abstract
JORDANA-FERRANDO, Purificación; MARTINEZ-FERRER, Jan Guillem; SERRAT-PUIG, Fina and VALERO-GARCIA, Carles. A patient with Raynaud's phenomenon of the nipple and hyperthyroidism. Rev Clin Med Fam [online]. 2023, vol.16, n.3, pp.304-306. Epub Mar 04, 2024. ISSN 2386-8201. https://dx.doi.org/10.55783/rcmf.160313.
Introduction:
Raynaud's phenomenon of the nipple is a rare pathology. It can occur associated with hyperthyroidism or autoimmune connective tissue diseases. We report a case associated with hyperthyroidism.
Case study:
a 39-year-old woman consulted for nipple pain, which worsened with breastfeeding, one month after childbirth. Raynaud's phenomenon of the nipple was diagnosed, which improved with nifedipine. Three months later the patient developed fever. Blood test revealed thyroid stimulating hormone (TSH) 0.0008 mU/L (normal 0.55-4.75 mU/L) and free T4 48 pg/mL (normal 2.30-4.20 pg/mL). Antithyroglobulin antibodies were >500 IU/mL. T3, antiperoxidase antibodies (TPO), and thyroid-stimulating immunoglobulin were normal. Postpartum thyroiditis (PPT) was diagnosed. Two months later, TSH and free T4 levels returned to normal.
Conclusion:
our patient presented PPT associated with Raynaud's phenomenon.
Keywords : Hyperthyroidism; Postpartum Thyroiditis; Raynaud's Phenomenon Of The Nipple.
