A Rare Form of Hypothyroidism

Shehzad Basaria, MD, and Milena Braga, MD


South Med J. 2002;95(5) 

In This Article


This case of a middle-aged woman with isolated secondary hypothyroidism illustrates that symptoms of hypothyroidism and absence of a goiter are important clues to the diagnosis. Magnetic resonance imaging with gadolinium is mandatory in all patients with secondary or tertiary hypothyroidism to rule out tumor. Free T4 levels should be measured in the follow-up of these patients.