A 42-year-old female with eating disorder complicated by hypothyroidism due to excess iodine ingestion and refeeding syndrome

Abstract

We report a case of hypothyroidism due to excess iodine ingestion and refeeding syndrome in 42-year-old female. The patient had eating disorder and visited a clinic suffering from emaciation and edema. Because of abnormal liver function test results and hypothyroidism she was referred to Tenri Hospital. She developed delusions and was hospitalized to a psychiatric ward, following which acute liver damage and hypophosphatemia became apparent. After oral replenishment of phosphate, liver function tests returned to normal. Hypothyroidism also improved after she accepted an ordinary hospital diet.