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IDIOPATHIC PORTAL HYPERTENSION IN ASSOCIATION WITH HASHIMOTO’S THYROIDITIS - A CASE REPORT

H. K. Dutta, A. Verma, J. Teron

Abstract


Few recent studies have suggested an immunological basis for pathogenesis of idiopathic portal hypertension (IPH). The smaller venous radicles in the small and medium-sized portal tracts are thought to be targets of immunologic attack in IPH.  We report a 22 year old Indian woman who presented with features of portal hypertension, hypersplenism and hypothyroidism. Investigations for hypothyroidism confirmed Hashimoto’s thyroiditis. Splenectomy and proximal lieno-renal shunt was done after the patient became euthyroid after a month of thyroxine therapy. This association of IPH and Hashimoto’s thyroiditis is very rare and strongly supports the possibility of immunological basis for etiopathogenesis of IPH.


Keywords


Portal Hypertension, Idiopathic Portal Hypertension, Hashimoto’s Thyroiditis, Autoimmune Disease, IPH, Thyroiditis.

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References


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