Hina Mehmood, Fatima Mohsin, Amna Shad, Sabahat Zulfiqar, Muhammad Hamza Laique, Rizwan Ahmad

Determination of Hypothyroidism among Melasma Patients in Tertiary Care Hospitals

Hina Mehmood, Fatima Mohsin, Amna Shad, Sabahat Zulfiqar, Muhammad Hamza Laique, Rizwan Ahmad



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ABSTRACT

 

Background: Thyroid dysfunction can present as hyper-pigmented macular rash all over the face.

Aim: To determine the frequency of hypothyroidism or hyperthyroidism among patients presenting with rash over face in a tertiary care hospital.

Study design: It was a a cross-sectional study

Methodology: With the sample size of 150 melasma patients, current study was carried out from September 2017 to March 2018 at the department of Dermatology, Jinnah Hospital, Lahore following the approval by Hospital’s Ethical Committee. Early morning blood sample was taken from all enrolled patients fulfilling the inclusion criteria and sent to the lab for thyroid function test (FT4 and TSH). Thyroid dysfunction was categorized as hypothyroidism and hyperthyroidism. Data was entered and analyzed by Statistical Package for Social Sciences (SPSS software, version 21). Chi-square test was applied as p-value ≤ 0.05 was considered significant.

Results: In present study, patients (n=150) of both genders were included with the age ranging from 18-50 years. Among 150 patients, duration of melasma ranged from 1-6 years Results showed 26 (17.3%) had hypothyroidism whereas 03 (2%) had hyperthyroidism among enrolled patients. All cases of thyroid dysfunction were subclinical.

Conclusion: Females with moderate to severe melasma are more prone to have abnormal thyroid functions (subclinical hypothyroidism).  

Keywords: Melasma; Thyroid Function Tests; Hypothyroid and Hyperthyroid.



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