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

Articles in Press

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.

Keywords

International Journal of Nutrition Sciences

Articles in Press, Accepted Manuscript
Available Online from 23 April 2025

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