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Hypothyroidism, Hypercholesterolemia, and Hypertension

Sheldon S. Stoffer, MD
JAMA. 1981;246(12):1300-1301. doi:10.1001/jama.1981.03320120012009.
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To the Editor.—  Although it is well known that hypothyroid patients frequently have hypercholesterolemia, we have seen several hypothyroid patients inappropriately treated with antilipidemic drugs and dietary restrictions. The diagnosis of hypothyroidism was not considered before instituting treatment for hypercholesterolemia. It is less well known that hypertension may also be associated with hypothyroidism.1 We recently encountered a patient who was being followed up by his family physician because of hypercholesterolemia and hypertension who was subsequently found to have primary hypothyroidism.

Report of a Case.—  A 43-year-old man was referred for evaluation of possible hypothyroidism. The patient was considering marriage but was apprehensive because of his poor health. He had been treated in the past with dextrothyroxine sodium for hypercholesterolemia. His therapy was subsequently switched to clofibrate. More recently hypertension was discovered, and some thought was given to instituting antihypertensive medication as well. On examination the patient was 175.2 cm


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