A CASE REPORT OF HASHIMOTO THYROIDITIS WITH SIGNIFICANT CLINICAL IMPROVEMENT AFTER UNANI TREATMENT

Abstract

A 42 year old woman, presented outpatient department with a complex medical history. Known case of childhood asthma. She had past medical history of hyperthyroidism 4 years back. Additionally, she had also recently past medical history of bloody hemorrhoids 1 month back. Presently, she came with the complaints of gradually bilateral swelling on legs, sudden muscular spasm, and burning sensation on both feet's with general weakness. She further complaints of acne on chest, back & thigh. There were also pimples on hips. She had developed gradually persistent acidity every time, associated symptoms with epigastric pain, decrease appetite, indigestion, bloating & flatulence, depression, anxiety, insomnia, obesity and shortness of breath. Medical reports showed an ESR 22 mm/1st hours elevated, upper abdomen ultrasound revealed gas accumulation. Other investigations were all normal. Hashimoto thyroiditis being a most suspected diagnosis. After that, it was diagnosed through Thyroid peroxidase Antibodies (TPOAb) & Thyroglobulin Antibodies (TgAb) were elevated. Elevated antibodies with normal serum TSH, serum T3 and T4 which means Hashimoto’s disease had been diagnosed. Then prescribed the symptomatic medications along with anti-inflammatory & immune-suppressant unani treatment till 2 months. In addition, Mediterranean diet, topical therapies, and lifestyle modifications, including weight reduction were recommended, which collectively contributed to symptoms improvement. Now, there is no need to further prescribe the medicine because, symptoms have resolved and medical reports also have improved. Advised to continue monthly follow-up, adhere to the recommended diet plan for 6 months to 1 year, and work on weight reduction through regular exercise and walking.