Can an Underactive Thyroid Cause Skin Rashes? What to Know

Dry, itchy, or discolored patches on your skin can sometimes be more than just a topical issue. If you're living with hypothyroidism, your thyroid could be affecting your skin in surprising ways—including causing rashes.

Can an Underactive Thyroid Cause Skin Rashes? What to Know Image by LEANDRO AGUILAR from Pixabay

Rashes linked to an underactive thyroid tend to be subtle but persistent. Common symptoms include dry, scaly patches, red or pale discoloration, and areas of thickened skin. Some people may notice a dull rash that doesn’t respond to over-the-counter creams. While not always itchy, these rashes can be uncomfortable and may appear alongside other signs of hypothyroidism like fatigue, weight gain, and sensitivity to cold.

Where skin symptoms most commonly appear

Skin issues tied to hypothyroidism most often develop in areas with thinner skin or poor circulation. This includes the elbows, knees, shins, scalp, and the face—particularly around the eyes and mouth. In some cases, rashes appear in body folds or on the neck, a region commonly affected by thyroid hormone imbalances. People with autoimmune hypothyroidism (like Hashimoto’s thyroiditis) may also experience hives or eczema-like patches in various parts of the body.

Texture and color changes to note

The skin of someone with hypothyroidism may feel rough or rubbery to the touch. It can appear paler than usual or have a yellowish hue due to changes in carotene metabolism. Some individuals experience puffy or swollen skin, especially on the face and hands. In chronic cases, the skin may crack, flake, or develop fissures. Noting the combination of dryness, roughness, and persistent dullness is key in identifying thyroid-related skin changes.

Mild vs. severe rash types

Mild rashes from hypothyroidism might be dismissed as simple dryness. These usually clear with moisturizers, but return quickly. More severe rashes—especially those associated with autoimmune thyroid disorders—can resemble dermatitis or even urticaria (hives). These may cause swelling, redness, and itchiness. In rare cases, people with severe untreated hypothyroidism may develop myxedema, where the skin thickens significantly and takes on a waxy texture.

When to consult a specialist

You should consider seeing a healthcare provider if your rash persists despite basic skincare, is accompanied by other hypothyroid symptoms, or worsens over time. A dermatologist can help rule out other skin conditions, while an endocrinologist can test your thyroid hormone levels. If you’ve already been diagnosed with hypothyroidism and your skin issues are new or intensifying, your medication dosage may need adjustment.


Thyroid treatment providers and services worldwide

If you’re managing hypothyroidism and experiencing skin symptoms, treatment usually involves hormone replacement therapy. Below is a comparison of verified thyroid treatment services globally, focusing on diagnostic and care offerings.

Provider Name Services Offered Key Features/Benefits
Mayo Clinic (USA) Endocrinology, hormone therapy Personalized plans, multidisciplinary care
NHS (UK) Thyroid hormone replacement, testing Public healthcare, GP referral system
Apollo Hospitals (India) Thyroid diagnostics, medication In-house labs, affordable consultations
Medicover (Europe) Ultrasound, endocrinology follow-ups Modern facilities, regional clinics
Cleveland Clinic (UAE) Thyroid surgery and hormone therapy International staff, advanced diagnostics

The information in this table is based on publicly available service descriptions and may vary by location. Always verify with each provider directly for up-to-date offerings.


  • Hypothyroidism slows cell turnover, which can lead to a buildup of dead skin and dryness.
  • Autoimmune reactions like Hashimoto’s may involve inflammation that affects the skin and hair.
  • Medications such as levothyroxine can help regulate hormone levels and improve skin over time.
  • Nutrient deficiencies common in thyroid disorders (like B12 or zinc) may worsen skin symptoms.
  • Moisturizing regularly and using gentle skincare products can help manage symptoms externally.

Managing skin issues related to hypothyroidism starts with treating the underlying hormonal imbalance. While not every rash signals a thyroid issue, persistent skin changes should be evaluated in the context of overall health.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.
The shared information of this article is up-to-date as of the publishing date. For more up-to-date information, please conduct your own research.