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© 1988 British Society for Rheumatology

case-report

CASE REPORT: BILATERAL ADHESIVE CAPSULITIS, OLIGOARTHRITIS AND PROXIMAL MYOPATHY AS PRESENTATION OF HYPOTHYROIDISM

C. A. BOWMAN1, W. J. JEFFCOATE1, M. PATTRICK2 and M. DOHERTY2,

1Department of Medicine, City Hospital Nottingham, NG5IPB,UK
2Rheumatology Unit, City Hospital Nottingham, NG5IPB,UK

Correspondence to: Address correspondence to Dr. M. Doherty.

A patient who presented with bilateral adhesive capsulitis of the shoulder, oligoarthropathy and rapidly progressive proximal myopathy is described. Although clinically euthyroid, autoimmune and biochemical hypothyroidism was the only predisposing factor found. Clinical deterioration after initiation of thyroxine replacement was followed by delayed improvement with reduction in initially elevated ESR and CRP.

KEY WORDS: Frozen shoulder, Capsulitis, Myopathy, Hypothyroidism, Thyroid disease, C-reactive protein


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