Deepak JAIN, Sudhir MOR, Hari Krishan AGGARWAL, Pulkit CHHABRA and Promil JAIN

ABSTRACT

Thyroid associated ophthalmopathy is a constellation of symptoms caused by an autoimmune process involving the orbital tissue. It is common in hyperthyroid patients due to Graves’ disease and also reported in euthyroid and hypothyroid Graves’ patients with positive thyroid receptor antibodies. But in Hashimoto’s thyroiditis, thyroid associated ophthalmopathy is a rarely reported and poorly understood entity. Here we report thyroid associated ophthalmopathy in a patient with hypothyroidism and negative thyroid receptor antibodies who showed heterogeneously hypoechoic thyroid gland on ultrasonography, diffuse lymphocytic infiltrate on fine needle aspiration citology and reduced 99m Tc radioisotope uptake, supporting the diagnosis of Hashimoto’s thyroiditis. The patient was treated with levothyroxine and artificial tear drops.
Keywords: Hashimoto’s thyroiditis, thyroid associated ophthalmopathy, Graves’ disease

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Deepak JAIN, Harpreet SINGH, Gaganpreet SINGH and Promil JAIN

ABSTRACT

Varicella is a common infectious exanthematous disease of children. Infection manifests as polymorphic maculopapulovesicular along with low grade fever, malaise and headache. Adults are less likely to be infected with varicella infection but once infected suffer disproportionately from serious complications like pneumonia, encephalitis, hepatitis and thrombocytopenia. Varicella hepatitis is generally a self-limiting disease with only a temporary subclinical rise in hepatic enzymes and are usually encountered however autoimmune hepatitis (AIH) which is an autoimmune disorder of unknown etiology affecting the liver is a very rare association of Varicella infection .similarly autoimmune haemolytic anaemia (AIHA) affecting the erythrocytes which is also rarely associated with varicella infection limited to few case reports. We report a rare triplex of acute varicella infection with AIHA and AIH in a young female patient.
Keywords: Varicella, autoimmune hepatitis, autoimmune haemolytic anaemia

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