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Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report

Received: 6 June 2021    Accepted: 7 July 2021    Published: 23 November 2021
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Abstract

Hoffmann syndrome is defined since 1897 as the combination of hypothyroidism with myopathy, mioedema, rigidity, muscle cramps, and hypertrophy. The objective of this publication is to describe a typical case of thyroid disease with clinical, hormonal, and muscular characteristics of a Hoffmann syndrome, as an exceptional manifestation of hypothyroidism. The clinical challenge consisted in linking the apparent ambiguity of the clinical symptoms such as: generalized weakness, fatigue, muscle cramps in a young patient, without personal record of previous disease, apparently healthy and well-nourished with favorable muscle development. Additionally, manifestation of pituitary gland dysfunction was found, such as headache and galactorrhea, bibliography reviewed showed mainly, male patients patter and not any comment concerning hypophysis impairment. all clinical manifestations disappeared after replacement treatment with levothyroxine, including the goiter and pituitary macroadenoma. The management of the case involved a multidisciplinary team and involved internists, cardiologist, endocrinologists, radiologist, and neurosurgeons. This form of thyroid myopathy is rare and usually accompanies adult patients with severe and long-standing hypothyroidism, is different from those that begin in early childhood and are associated with cretinism and muscle hypertrophy.

Published in American Journal of Laboratory Medicine (Volume 6, Issue 6)
DOI 10.11648/j.ajlm.20210606.12
Page(s) 88-90
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hoffmann Syndrome, Hypothyroidism, Myopathy

References
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[3] Senanayake HM, Dedigama AD, De Alwis RP, Thirumavalavan K. Hoffmann syndrome: a case report. Int Arch Med [Internet]. 2014 [cited 12 Mar 2019]; 7: [approx. 2 P.]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3895824/
[4] Dudekula A, Fernandes M, Mahale A, Sharma H. Hoffmann Syndrome: An Unusual Cause of Proximal Muscle Hypertrophy. Res J Radiol [Internet]. 2017 [cited 2018 Jul 12]; 4 (1): [approx. 4 p.]. Available at: ttps: //scialert.net/fulltextmobile/?Doi = rjr.2017.1.4
[5] Rábano Gutiérrez del Arroyo J, Gobernado Serrano JM, García Villanueva M, Gimeno Álava A. Hypothyroidism with muscular hypertrophy (Hoffmann syndrome): histochemical, histometric and ultrastructural study of skeletal muscle. Med Clin Barc. 1984; 82 (3): 121-3.
[6] Domínguez Gasca LG, Arellano Aguilar G, Domínguez Carrillo LG. Hypothyroid pseudohypertrophic myopathy: Hoffmann syndrome. Acta Médica Grupo Ángeles [Internet]. 2015 [cited 2019 Mar 12]; 13 (1): [approx. 4 p.]. Available at: http://www.medigraphic.com/pdfs/actmed/am-2015/am151e.pdf
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[12] Peioxoto Kades MG, Silvano de Aquino ME, Pereira de Souza L. WerdnigHoffman syndrome: pathological aspects and knowledge of the disease. Recien Magazine [Internet].2017 [cited 2019 Mar 12]; 7 (20): [approx. 8p.]. Available at: https://www.recien.com.br/index.php/Recien/article/download/224/pdf_1http://revistaamc.sld.cu/
[13] Saïd F, Tliba A, Khanfir M, Lamloum M, Habib Houman M. [Hoffmann syndrome about two new cases]. Rev Med Brux. 2018; 39 (3): 172-17.
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  • APA Style

    Asmell Ramos Cabrera, Alexis Culay Perez, Yamila Rodriguez Sanchez, Alexis Gregori Caballero. (2021). Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report. American Journal of Laboratory Medicine, 6(6), 88-90. https://doi.org/10.11648/j.ajlm.20210606.12

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    ACS Style

    Asmell Ramos Cabrera; Alexis Culay Perez; Yamila Rodriguez Sanchez; Alexis Gregori Caballero. Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report. Am. J. Lab. Med. 2021, 6(6), 88-90. doi: 10.11648/j.ajlm.20210606.12

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    AMA Style

    Asmell Ramos Cabrera, Alexis Culay Perez, Yamila Rodriguez Sanchez, Alexis Gregori Caballero. Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report. Am J Lab Med. 2021;6(6):88-90. doi: 10.11648/j.ajlm.20210606.12

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  • @article{10.11648/j.ajlm.20210606.12,
      author = {Asmell Ramos Cabrera and Alexis Culay Perez and Yamila Rodriguez Sanchez and Alexis Gregori Caballero},
      title = {Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report},
      journal = {American Journal of Laboratory Medicine},
      volume = {6},
      number = {6},
      pages = {88-90},
      doi = {10.11648/j.ajlm.20210606.12},
      url = {https://doi.org/10.11648/j.ajlm.20210606.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajlm.20210606.12},
      abstract = {Hoffmann syndrome is defined since 1897 as the combination of hypothyroidism with myopathy, mioedema, rigidity, muscle cramps, and hypertrophy. The objective of this publication is to describe a typical case of thyroid disease with clinical, hormonal, and muscular characteristics of a Hoffmann syndrome, as an exceptional manifestation of hypothyroidism. The clinical challenge consisted in linking the apparent ambiguity of the clinical symptoms such as: generalized weakness, fatigue, muscle cramps in a young patient, without personal record of previous disease, apparently healthy and well-nourished with favorable muscle development. Additionally, manifestation of pituitary gland dysfunction was found, such as headache and galactorrhea, bibliography reviewed showed mainly, male patients patter and not any comment concerning hypophysis impairment. all clinical manifestations disappeared after replacement treatment with levothyroxine, including the goiter and pituitary macroadenoma. The management of the case involved a multidisciplinary team and involved internists, cardiologist, endocrinologists, radiologist, and neurosurgeons. This form of thyroid myopathy is rare and usually accompanies adult patients with severe and long-standing hypothyroidism, is different from those that begin in early childhood and are associated with cretinism and muscle hypertrophy.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report
    AU  - Asmell Ramos Cabrera
    AU  - Alexis Culay Perez
    AU  - Yamila Rodriguez Sanchez
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    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajlm.20210606.12
    DO  - 10.11648/j.ajlm.20210606.12
    T2  - American Journal of Laboratory Medicine
    JF  - American Journal of Laboratory Medicine
    JO  - American Journal of Laboratory Medicine
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    PB  - Science Publishing Group
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    AB  - Hoffmann syndrome is defined since 1897 as the combination of hypothyroidism with myopathy, mioedema, rigidity, muscle cramps, and hypertrophy. The objective of this publication is to describe a typical case of thyroid disease with clinical, hormonal, and muscular characteristics of a Hoffmann syndrome, as an exceptional manifestation of hypothyroidism. The clinical challenge consisted in linking the apparent ambiguity of the clinical symptoms such as: generalized weakness, fatigue, muscle cramps in a young patient, without personal record of previous disease, apparently healthy and well-nourished with favorable muscle development. Additionally, manifestation of pituitary gland dysfunction was found, such as headache and galactorrhea, bibliography reviewed showed mainly, male patients patter and not any comment concerning hypophysis impairment. all clinical manifestations disappeared after replacement treatment with levothyroxine, including the goiter and pituitary macroadenoma. The management of the case involved a multidisciplinary team and involved internists, cardiologist, endocrinologists, radiologist, and neurosurgeons. This form of thyroid myopathy is rare and usually accompanies adult patients with severe and long-standing hypothyroidism, is different from those that begin in early childhood and are associated with cretinism and muscle hypertrophy.
    VL  - 6
    IS  - 6
    ER  - 

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Author Information
  • Internal Medicine Department, American International University West Africa, Banjul, Gambia

  • Internal Medicine Department, Manuel Ascunce D teaching Hospital, Camaguey, Cuba

  • Internal Medicine Department, Manuel Ascunce D teaching Hospital, Camaguey, Cuba

  • Internal Medicine Department, Manuel Ascunce D teaching Hospital, Camaguey, Cuba

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