An unusual presentation of longstanding atrophic Hashimoto’s thyroiditis: challenges in a resource-limited setting

Undiagnosed cases of hypothyroidism are more prevalent in poor-resource setups. Longstanding hypothyroidism can lead to varied presentations involving different organs, including the kidneys and gastrointestinal system, besides its profound negative effect on growth and brain development. Dyslipidemia and ptosis have been reported as well. Calf muscle hypertrophy, Kocher-Debré-Semelaigne syndrome, has been reported in longstanding hypothyroidism.