Pancytopenia in a surgical patient, a rare presentation of hyperthyroidism

Abstract

Background: Pancytopenia is a rare complication of hyperthyroidism. Various mechanisms have been described suc as immunological, bone marrow suppression. The possibility of hyperthyroidism should be considered in patients wit unexplained pancytopenia. There are many case reports showing the association between hyperthyroidism an pancytopenia. All of these reports show association between Graves disease and pancytopenia but our case show association between Multinodular goitre and pancytopenia. Besides it is uncommon to find such association in surgical patient Case presentation: This case report describes a 62 yr old hindu female with splenic injury and pancytopenia On further investigations the patient was found to have hyperthyroidism Conclusion: Though the definite mechanism regarding the association of pancytopenia with hyperthyroidis isn't clear, various cases have been described in the literature. This case shows the diagnostic dilemma that ca occur in patients with pancytopenia. Any patient with unexplained pancytopenia should undergo thyroid functio tests to rule out hyperthyroidism.