Vitamin D Deficiency and Hashimoto’s Thyroiditis in a Patient with Polycystic Ovary Syndrome and Ulcerative Colitis

Document Type : Case Report

Authors

1 Department of Pharmacy Practice, KL College of Pharmacy, Koneru Lakshmaiah Education Foundation, Guntur, Andhra Pradesh, India

2 Department of Pharmacy, Krishna Teja Pharmacy College, Tirupati, Andhra Pradesh, India

3 Department of Gastroenterology, Hanuman’s Liver and Gastric Care, Guntur, Andhra Pradesh, India

10.30476/ijns.2025.104324.1354

Abstract

We present a 25-year-old woman with complaints of missing menstrual cycle for 3 months, and having a history of ulcerative colitis with no significant family history. The polycystic ovary syndrome (PCOS) was diagnosed by an ultra-sonogram of uterus. Lab investigation revealed the thyroid functional test, vitamin D, total RBC, hemoglobin, MCV, MCHC, total cholesterol, LDL cholesterol and non-HDL cholesterol of the patient to be in an abnormal range. The undertaken treatment included 75 mcg levothyroxine and supplements of vitamin D, methyl cobalamin, myoinositol, D-chiro-inositol and folic acid to provide a healthy menstrual cycle. We showed patient with ulcerative colitis can have risk of malnutrition and lead to vitamin D deficiency with a correlation with anti-TPO level; while treatment measures, diet modification and stress management technique improved the patient’s condition and menstrual cycle became normalized.

Highlights

Jeevan Kumar (Google Scholar)

Devaki Kondaveeti (Google Scholar)

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