Browsing by Author "Bhat, Sadaf Bashir"
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Item Thyrotoxicosis with primary presentation as dysphagia: a rare manifestation.(2014-07) Banday, Tanveer H; Bhat, Sadaf Bashir; Kmat, Ashwin; Bhat, Shashikantha; Nanjundswamy, MathurajaThyrotoxicosis refers to the clinical manifestations associated with elevated serum levels of T4 or T3 in an individual. Dysphagia is a common problem but a rare manifestation of hyperthyroidism. Dysphagia is an uncommon manifestation of thyrotoxic myopathy. Reports have been sparse and its incidence is not clear. In our case report patient presented who with dysphagia and weight loss and investigation revealed hyperthyroidism. Patient dysphagia subsequently resolved after receiving treatment with methimazole and beta-blockers. This case report the need to include thyrotoxicosis in the differential diagnosis of an otherwise unexplained case of dysphagia.Item To study prevalence of incipient iron deficiency in primary hypothyroidism.(2014-04) Banday, Tanveer Hassan; Bhat, Sadaf Bashir; Bhat, Sabreen Bashir; Shah, Naveed; Bashir, ShahnawzBackground: Hypothyroidism, affects around 1% of general population. Anemia in association with hypothyroidism has been studied since 1881. Iron deficiency has multiple adverse effects on thyroid metabolism. It decreases circulating thyroid hormone concentration, blunts thyrotrophic response to TRH, decreases serum T3. Objective of current study was to find prevalence of iron deficiency in primary hypothyroid. Methods: In our study 70 patients were selected, out of which 50 were females and 20 were males, who were suffering from hypothyroidism. Iron deficiency in the study group was confirmed at baseline using multiple iron status indicators (serum ferritin, serum iron, TIBC & percentage Saturation). These patients were between age group 18-65 years. Results: In our study only 14 patients (20%) manifested with anemia (which was defined as Hb<12gm/dl), where as the prevalence of iron deficiency (with or without anemia) was 34.2%, in which 28.5% were females and 5.70% were males, thus showing that prevalence of iron deficiency (with or without anemia) can be higher than iron deficiency anemia itself, which is supported by literature. Conclusion: Iron deficiency was present in a significant portion of patients with primary hypothyroidism. It also concluded that frequency of iron deficiency (with or without anemia) was higher than iron deficiency anemia.