Abstract

Mitochondrial myopathy, encephalopathy, lactic acidosis and stroke (MELAS) syndrome is a progressive neurodegenerative disorder; characterized by a group of systemic abnormalities with variable clinical presentations. In present article we discuss an unusual case of 28 years female in which primary hypothyroidism is associated with distal renal tubular acidosis without evidence of renal failure.

Key words: Mitochondrial myopathy, encephalopathy, lactic acidosis, stroke, MELAS syndrome