Autoimmune Thyroiditis as Initial Presentation of Systemic Lupus Erythematosus Complicated by Massive Ascites: A Case Report



autoimmune thyroiditis, systemic lupus erythematosus, serositis


Autoimmune thyroiditis in the course of other autoimmune diseases such as systemic lupus erythematosus (SLE) is common because these disorders are attributed to the production of autoantibodies against various autoantigens. Beyond this association, autoimmune thyroiditis can occur before, during or after the development of SLE. In this report, we describe a female who presented with facial puffiness, lethargy and progressive abdominal distension. She was diagnosed with autoimmune thyroiditis followed by the diagnosis of SLE complicated by a massive ascites, a rare form of lupus peritonitis, which is sterile ascites that results from severe serositis. Her presentation was complex and posed a diagnostic challenge and dilemma to the physicians involved in her care.


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Author Biographies

Noor Rafhati Adyani Abdullah, Endocrinology Unit, Department of Medicine, Putrajaya Hospital, Malaysia

Fellow in Endocrinology

Rosdina Zamrud Ahmad Akbar, Department of Medicine, Universiti Teknologi Mara Medical School

Masters in Internal Medicine


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How to Cite

Abdullah, N. R. A., & Akbar, R. Z. A. (2017). Autoimmune Thyroiditis as Initial Presentation of Systemic Lupus Erythematosus Complicated by Massive Ascites: A Case Report. Journal of the ASEAN Federation of Endocrine Societies, 32(1), 50. Retrieved from



Case Reports