Hoffmann syndrome is defined since 1897 as the combination of hypothyroidism with myopathy, mioedema, rigidity, muscle cramps, and hypertrophy. The objective of this publication is to describe a typical case of thyroid disease with clinical, hormonal, and muscular characteristics of a Hoffmann syndrome, as an exceptional manifestation of hypothyroidism. The clinical challenge consisted in linking the apparent ambiguity of the clinical symptoms such as: generalized weakness, fatigue, muscle cramps in a young patient, without personal record of previous disease, apparently healthy and well-nourished with favorable muscle development. Additionally, manifestation of pituitary gland dysfunction was found, such as headache and galactorrhea, bibliography reviewed showed mainly, male patients patter and not any comment concerning hypophysis impairment. all clinical manifestations disappeared after replacement treatment with levothyroxine, including the goiter and pituitary macroadenoma. The management of the case involved a multidisciplinary team and involved internists, cardiologist, endocrinologists, radiologist, and neurosurgeons. This form of thyroid myopathy is rare and usually accompanies adult patients with severe and long-standing hypothyroidism, is different from those that begin in early childhood and are associated with cretinism and muscle hypertrophy.
Published in | American Journal of Laboratory Medicine (Volume 6, Issue 6) |
DOI | 10.11648/j.ajlm.20210606.12 |
Page(s) | 88-90 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Hoffmann Syndrome, Hypothyroidism, Myopathy
[1] | Hoffmann J. Weiterer Beitrag zur Lehre von der Tetanie. Dtsch Z Nervenheilk. 1897; 9: 278-90. |
[2] | Lee KW, Kim SH, Kim KJ, Kim SH, Kim HY, Kim BJ, et al. A Rare Manifestation of Hypothyroid Myopathy: Hoffmann's Syndrome. Endocrinol Metab [Internet]. 2015 Dec [cited 12 Mar 2019]; 30 (4): [approx. 5 p.]. Available at: ttps: //www.ncbi.nlm.nih.gov/pmc/articles/PMC4722421/ |
[3] | Senanayake HM, Dedigama AD, De Alwis RP, Thirumavalavan K. Hoffmann syndrome: a case report. Int Arch Med [Internet]. 2014 [cited 12 Mar 2019]; 7: [approx. 2 P.]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3895824/ |
[4] | Dudekula A, Fernandes M, Mahale A, Sharma H. Hoffmann Syndrome: An Unusual Cause of Proximal Muscle Hypertrophy. Res J Radiol [Internet]. 2017 [cited 2018 Jul 12]; 4 (1): [approx. 4 p.]. Available at: ttps: //scialert.net/fulltextmobile/?Doi = rjr.2017.1.4 |
[5] | Rábano Gutiérrez del Arroyo J, Gobernado Serrano JM, García Villanueva M, Gimeno Álava A. Hypothyroidism with muscular hypertrophy (Hoffmann syndrome): histochemical, histometric and ultrastructural study of skeletal muscle. Med Clin Barc. 1984; 82 (3): 121-3. |
[6] | Domínguez Gasca LG, Arellano Aguilar G, Domínguez Carrillo LG. Hypothyroid pseudohypertrophic myopathy: Hoffmann syndrome. Acta Médica Grupo Ángeles [Internet]. 2015 [cited 2019 Mar 12]; 13 (1): [approx. 4 p.]. Available at: http://www.medigraphic.com/pdfs/actmed/am-2015/am151e.pdf |
[7] | McKeran RO, Slavin G, Ward P, Paul E, Mair W. Hypothyroid myopathy. A clinical and pathological study. J Pathol. 1980 Sep; 132 (1): 35-54. |
[8] | Seclén Santisteban S. Hypothyroidism in the elderly. Diagnosis (Peru) [Internet]. Jul-Ago 2003 [cited 2019 Mar 12]; 42 (4): [approx. 2 p.]. Available at: http://www.fihudiagnostico.org.pe/revista/numeros/2003/julago03/171-172.html |
[9] | Duyff RF, Van den Bosch J, Laman DM, Van Loon BJ, Linssen WH. Neuromuscular findings in thyroid dysfunction: A prospective clinical and electrodiagnostic study. J Neurol Neurosurg Psychiatry [Internet]. 2000 Jun [cited 12 Mar 2019]; 68 (6): [approx. 6 p.]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1736982/pdf/v068p00750.pdf |
[10] | Jameson JL, Weetman AP. Thyroid gland disorders. In: Fauci A, Braunwald E, Kasper D, Hauser S, Longo D, Jameson J, editors. Harrison's Principles of Internal Medicine. 18 ed. New York: McGrow-Hill; 2012. p. 2911-2939. |
[11] | Arpa Gámez A, González Sotolongo O. Hoffmann's syndrome. Rev Cub Med Mil [Internet]. Dec 2002 [cited 2019 Mar 12]; 31 (4): [approx. 3 p.]. Available at: http://scielo.sld.cu/scielo.php? script = sci_arttext & pid = S0138-65572002000400013 & lng = en |
[12] | Peioxoto Kades MG, Silvano de Aquino ME, Pereira de Souza L. WerdnigHoffman syndrome: pathological aspects and knowledge of the disease. Recien Magazine [Internet].2017 [cited 2019 Mar 12]; 7 (20): [approx. 8p.]. Available at: https://www.recien.com.br/index.php/Recien/article/download/224/pdf_1http://revistaamc.sld.cu/ |
[13] | Saïd F, Tliba A, Khanfir M, Lamloum M, Habib Houman M. [Hoffmann syndrome about two new cases]. Rev Med Brux. 2018; 39 (3): 172-17. |
[14] | Regal Ramos RJ. Fibromyalgia: hypothyroidism or persistent somatoform pain disorder. Med Gen Fam [Internet]. 2016 Oct-Dec [cited 12 Mar 2019]; 5 (4): [approx. 5 p.]. Available at https://www.sciencedirect.com/science/article/pii/S1889543316000335 |
[15] | Angelini C. Endocrinological Myopathies. In: Angelini C, editor. Acquired Neuromuscular Disorders: Pathogenesis, Diagnosis and Treatment. Switzerland: Springer International Publishing; 2016. p. 143-54. |
[16] | Chung J, Ahn K-S, Kang CH, Hong S-J, Kim BH. Hoffmann’s disease: MR imaging of hypothyroid myopathy. Skeletal Radiology [Internet]. 2015 [cited 2018 Jul 12]; 44 (11): [approx. 10 p.]. Available at: https://link.springer.com/article/10.1007%2Fs00256-015-2226-1 |
[17] | García Sainz-Pardo C, Morales Moreno L, Tardío López M, Sáez Martínez FJ. Hypothyroid myopathy. Med Gen and Fam [Internet]. Mar 2012 [cited 12 Mar 2019]. Available at: http://www.mgyf.org/wpcontent/uploads/2017/revistas_rantes/V1N1/V1N1_54_56.pdf |
APA Style
Asmell Ramos Cabrera, Alexis Culay Perez, Yamila Rodriguez Sanchez, Alexis Gregori Caballero. (2021). Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report. American Journal of Laboratory Medicine, 6(6), 88-90. https://doi.org/10.11648/j.ajlm.20210606.12
ACS Style
Asmell Ramos Cabrera; Alexis Culay Perez; Yamila Rodriguez Sanchez; Alexis Gregori Caballero. Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report. Am. J. Lab. Med. 2021, 6(6), 88-90. doi: 10.11648/j.ajlm.20210606.12
AMA Style
Asmell Ramos Cabrera, Alexis Culay Perez, Yamila Rodriguez Sanchez, Alexis Gregori Caballero. Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report. Am J Lab Med. 2021;6(6):88-90. doi: 10.11648/j.ajlm.20210606.12
@article{10.11648/j.ajlm.20210606.12, author = {Asmell Ramos Cabrera and Alexis Culay Perez and Yamila Rodriguez Sanchez and Alexis Gregori Caballero}, title = {Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report}, journal = {American Journal of Laboratory Medicine}, volume = {6}, number = {6}, pages = {88-90}, doi = {10.11648/j.ajlm.20210606.12}, url = {https://doi.org/10.11648/j.ajlm.20210606.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajlm.20210606.12}, abstract = {Hoffmann syndrome is defined since 1897 as the combination of hypothyroidism with myopathy, mioedema, rigidity, muscle cramps, and hypertrophy. The objective of this publication is to describe a typical case of thyroid disease with clinical, hormonal, and muscular characteristics of a Hoffmann syndrome, as an exceptional manifestation of hypothyroidism. The clinical challenge consisted in linking the apparent ambiguity of the clinical symptoms such as: generalized weakness, fatigue, muscle cramps in a young patient, without personal record of previous disease, apparently healthy and well-nourished with favorable muscle development. Additionally, manifestation of pituitary gland dysfunction was found, such as headache and galactorrhea, bibliography reviewed showed mainly, male patients patter and not any comment concerning hypophysis impairment. all clinical manifestations disappeared after replacement treatment with levothyroxine, including the goiter and pituitary macroadenoma. The management of the case involved a multidisciplinary team and involved internists, cardiologist, endocrinologists, radiologist, and neurosurgeons. This form of thyroid myopathy is rare and usually accompanies adult patients with severe and long-standing hypothyroidism, is different from those that begin in early childhood and are associated with cretinism and muscle hypertrophy.}, year = {2021} }
TY - JOUR T1 - Hoffmann Syndrome, Manifestation of Hypothyroidism: Case Report AU - Asmell Ramos Cabrera AU - Alexis Culay Perez AU - Yamila Rodriguez Sanchez AU - Alexis Gregori Caballero Y1 - 2021/11/23 PY - 2021 N1 - https://doi.org/10.11648/j.ajlm.20210606.12 DO - 10.11648/j.ajlm.20210606.12 T2 - American Journal of Laboratory Medicine JF - American Journal of Laboratory Medicine JO - American Journal of Laboratory Medicine SP - 88 EP - 90 PB - Science Publishing Group SN - 2575-386X UR - https://doi.org/10.11648/j.ajlm.20210606.12 AB - Hoffmann syndrome is defined since 1897 as the combination of hypothyroidism with myopathy, mioedema, rigidity, muscle cramps, and hypertrophy. The objective of this publication is to describe a typical case of thyroid disease with clinical, hormonal, and muscular characteristics of a Hoffmann syndrome, as an exceptional manifestation of hypothyroidism. The clinical challenge consisted in linking the apparent ambiguity of the clinical symptoms such as: generalized weakness, fatigue, muscle cramps in a young patient, without personal record of previous disease, apparently healthy and well-nourished with favorable muscle development. Additionally, manifestation of pituitary gland dysfunction was found, such as headache and galactorrhea, bibliography reviewed showed mainly, male patients patter and not any comment concerning hypophysis impairment. all clinical manifestations disappeared after replacement treatment with levothyroxine, including the goiter and pituitary macroadenoma. The management of the case involved a multidisciplinary team and involved internists, cardiologist, endocrinologists, radiologist, and neurosurgeons. This form of thyroid myopathy is rare and usually accompanies adult patients with severe and long-standing hypothyroidism, is different from those that begin in early childhood and are associated with cretinism and muscle hypertrophy. VL - 6 IS - 6 ER -