Reversal deterioration of renal function accompanied with primary hypothyrodism
Introduction. Hypothyroidism is often accompanied with decline of kidney function, or inability to maintain electrolyte balance. These changes are usually overlooked in everyday practice. Early recognition of this association eliminates unnecessary diagnostic procedures that postpone the adequat...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2012-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501202205D.pdf |
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| _version_ | 1849398934066167808 |
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| author | Dragović Tamara |
| author_facet | Dragović Tamara |
| author_sort | Dragović Tamara |
| collection | DOAJ |
| description | Introduction. Hypothyroidism is often accompanied with decline of kidney function, or inability to maintain electrolyte balance. These changes are usually overlooked in everyday practice. Early recognition of this association eliminates unnecessary diagnostic procedures that postpone the adequate treatment. Case report. Two patients with elevated serum creatinine levels due to primary autoimmune hypothyroidism, with complete recovery of creatinine clearance after thyroid hormone substitution therapy are presented. The first patient was a young male whose laboratory tests suggested acute renal failure, and the delicate clinical presentation of reduced thyroid function. The second patient was an elderly woman with a history of a long-term signs and symptoms attributed to ageing, including the deterioration of renal function, with consequently delayed diagnosis of hypothyroidism. Conclusion. Serum thyrotropin and thyroxin levels measurement should be done in all cases of renal failure with undefined renal desease, even if the typical clinical presentation of hypothyroidism is absent. Thyroid hormone assays sholud also be performed in all patients with chronic kidney disease whose kidney function is rapidly worsening. |
| format | Article |
| id | doaj-art-9fbd15bf46f04574876b392ba8d811ae |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-9fbd15bf46f04574876b392ba8d811ae2025-08-20T03:38:27ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-0169220520810.2298/VSP1202205DReversal deterioration of renal function accompanied with primary hypothyrodismDragović TamaraIntroduction. Hypothyroidism is often accompanied with decline of kidney function, or inability to maintain electrolyte balance. These changes are usually overlooked in everyday practice. Early recognition of this association eliminates unnecessary diagnostic procedures that postpone the adequate treatment. Case report. Two patients with elevated serum creatinine levels due to primary autoimmune hypothyroidism, with complete recovery of creatinine clearance after thyroid hormone substitution therapy are presented. The first patient was a young male whose laboratory tests suggested acute renal failure, and the delicate clinical presentation of reduced thyroid function. The second patient was an elderly woman with a history of a long-term signs and symptoms attributed to ageing, including the deterioration of renal function, with consequently delayed diagnosis of hypothyroidism. Conclusion. Serum thyrotropin and thyroxin levels measurement should be done in all cases of renal failure with undefined renal desease, even if the typical clinical presentation of hypothyroidism is absent. Thyroid hormone assays sholud also be performed in all patients with chronic kidney disease whose kidney function is rapidly worsening.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501202205D.pdfhypothyroidismrenal insufficiencydiagnosisthyrotropinthyroxinetreatment outcome |
| spellingShingle | Dragović Tamara Reversal deterioration of renal function accompanied with primary hypothyrodism Vojnosanitetski Pregled hypothyroidism renal insufficiency diagnosis thyrotropin thyroxine treatment outcome |
| title | Reversal deterioration of renal function accompanied with primary hypothyrodism |
| title_full | Reversal deterioration of renal function accompanied with primary hypothyrodism |
| title_fullStr | Reversal deterioration of renal function accompanied with primary hypothyrodism |
| title_full_unstemmed | Reversal deterioration of renal function accompanied with primary hypothyrodism |
| title_short | Reversal deterioration of renal function accompanied with primary hypothyrodism |
| title_sort | reversal deterioration of renal function accompanied with primary hypothyrodism |
| topic | hypothyroidism renal insufficiency diagnosis thyrotropin thyroxine treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501202205D.pdf |
| work_keys_str_mv | AT dragovictamara reversaldeteriorationofrenalfunctionaccompaniedwithprimaryhypothyrodism |