Case report of hypothyroidism presenting with myxedema ascites

Autor: Marc Atzenhoefer, MD, Jeanette H. Man, BS, Ehab R. Saad, MD, FACP, FASN
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Clinical and Translational Endocrinology Case Reports, Vol 4, Iss , Pp 5-7 (2017)
Druh dokumentu: article
ISSN: 2214-6245
DOI: 10.1016/j.jecr.2017.03.001
Popis: Primary hypothyroidism rarely presents with ascites. This clinical finding in a patient with history suggestive of hypothyroidism should prompt thyroid testing. Diagnostic workup should include a paracentesis and determination of the SAAG. Review of the literature revealed sixty three well documented cases of myxedema ascites. A majority of these had SAAGs of >1.1g/dL and total proteins of >2.5 g/dL. Myxedema as a cause of ascites should be considered and ruled in by exclusion. Treatment with thyroid replacement remains an effective solution with an excellent prognosis.
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