with thyroid hormone deficiency. [15, 16, 17] Thyroid hormone excess, or thyrotoxicosis, may result from Graves disease, toxic multinodular goiter, toxic adenoma, thyroiditis, exogenous thyroid hormone intake and, rarely, excessive thyroid-stimulating hormone (TSH) secretion from the pituitary gland. [14] Thyrotoxic myopathy may be secondary to a disturbance in the function of the muscle fibers from for various endocrine myopathies are as follows: * * Adrenal dysfunction: Although most cases of muscle weakness related to glucocorticoid excess resolve with therapy, there have been reports of persistent symptoms years after treatment. [35, 7] * * Thyroid dysfunction: Thyrotoxic myopathy resolves completely with treatment of the underlying endocrinopathy. However, in hypothyroid myopathy, while CK