BACKGROUND Hoffmann's syndrome is a rare form of hypothyroid myopathy. Only a few cases of fasciotomy in this setting have previously been reported. CASE PRESENTATION A 41-year-old Caucasian man under treatment for hypothyroidism presented with acute-onset severe pain in his forearm for no obvious reason and was admitted to our emergency room. He eventually developed compartment syndrome which necessitated surgical decompression. Soon after surgery he complained of similar symptoms in his calves. By the time his hypothyroid status was confirmed, conservative treatment and orally administered levothyroxine gradually made the pain from his calves disappear, without further surgical treatment. CONCLUSION Hoffmann's syndrome may precipitate a compartment syndrome in the absence of trauma.

中文翻译：

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霍夫曼综合症需要前臂筋膜切开术：病例报告。

背景技术霍夫曼综合症是甲状腺功能减退性肌病的一种罕见形式。以前仅报道过这种情况下的筋膜切开术病例。病例介绍一名接受甲状腺功能减退症治疗的41岁白人男子无明显原因出现前臂急性发作严重疼痛，并入我们的急诊室。他最终发展为需要手术减压的隔室综合征。手术后不久，他抱怨小腿有类似症状。在确认甲状腺功能减退状态时，保守治疗和口服左甲状腺素逐渐使小腿疼痛消失，无需进一步手术治疗。结论霍夫曼综合症在没有外伤的情况下可能导致房室综合症。