Hashimoto’s encephalopathy in a patient with septal panniculitis: A case report

Abstract

Hashimoto’s encephalopathy (HE) is an autoimmune form of encephalopathy, associated with autoimmune thy-roiditis. Its prevalence is estimated to be 2:100,000. HE is characterized by behavioral changes, mental confu-sion, dysarthria, ataxia, psychosis, paranoia, convulsions, hallucinations, headache and hyperthermia. Elevated thyroid antibodies are necessary for diagnosis and the disease responds dramatically to glucocorticoid therapy. We describe a patient with HE and panniculitis, an association reported twice in the literature.