Rhupus syndrome with hypothyroidism - A case report

A 36 years old female presented with symmetrical polyarthritis diagnosed as Rheumatoid Arthritis (RA). After six months, she developed tender thyroid swelling diagnosed as autoimmune thyroiditis with hypothyroidism. Another six months later, she developed butterfly rash over the face with exacerbation of polyarthritis and a diagnosis of Systemic Lupus Erythematosus (SLE) with anti- ds-DNA positive was made. She was diagnosed with rheumatoid arthritis overlapping with systemic lupus erythematosus (Rhupus syndrome) with hypothyroidism.