Case Report of International Journal of Case Reports
Levothyroxine malabsorption induced by gastroparesis in type one diabetic patient: effect of intravenous levothyroxine therapy case report
Homaid Alsahafi, Bandar Damanhori, Faisal AL Malky, Ashjan Alrogi, Khulood Alkhuzaie
Department of Endocrinology & Diabetology, Hera General Hospital, Makkah, Saudi Arabia
19 year old female known case of primary hypothyroidism on levothyroxine replacement, type one diabetes on insulin pump with good glycemic control and stable thyroid function, developed diabetic gastroparesis with worsening response to oral levothyroxine therapy. Her symptoms of hypothyroidism and her thyroid function improved dramatically by intravenous levothyroxine three times weekly for 4 weeks then she restarted on her usual dose of oral levothyroxine.
Intravenous levothyroxine three times weekly for 4 weeks followed by oral levothyroxine therapy maintained her euthyroid, improved hypothyroidism and gastroparesis symptoms till the date of editing of this report (more than 15 months.).
Keywords: Levothyroxine malabsorption, gastroparesis, type one diabetic patient, intravenous levothyroxine therapy, case report
How to cite this article:
Homaid Alsahafi, Bandar Damanhori, Faisal AL Malky, Ashjan Alrogi, Khulood Alkhuzaie. Levothyroxine malabsorption induced by gastroparesis in type one diabetic patient: effect of intravenous levothyroxine therapy case report. International Journal of Case Reports, 2019 4:102. DOI: 10.28933/ijcr-2019-10-1504
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