Acute Compartment Syndrome in a Hypothyroid Patient

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Abstract
Acute compartment syndrome (ACS) is caused by conditions that either decrease the size of the compartment or increase the content of the compartment. Intracompartmental pressures are raised, thereby initiating a sequence of events that results in myoneural injury. Although limb trauma is the most common and well-recognized etiology of ACS, the cause is frequently not readily apparent. Thyroid disease is not a commonly recognized cause of ACS; only one case of ACS associated with hypothyroidism has been previously reported. We now describe a second case of ACS in a patient with severe hypothyroidism and discuss the possible pathogenesis of this association.

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