Thyroid dysfunctions in patients with chronic renal failure

Authors

  • Ketan Pakhle Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Nerul, Mumbai, Maharashtra India
  • Rushab Parikh Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Nerul, Mumbai, Maharashtra India
  • Ashwini Jain Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Nerul, Mumbai, Maharashtra India
  • Prashant Kashyap Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Nerul, Mumbai, Maharashtra India
  • Dhaval Dave Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Nerul, Mumbai, Maharashtra India
  • Archana Bhate Department of General Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Nerul, Mumbai, Maharashtra India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20172485

Keywords:

CRF, GFR, Thyroid hormone

Abstract

Background: Chronic renal failure (CRF), or end-stage renal disease (ESRD), is a progressive, irreversible deterioration in renal function in which the body’s ability to maintain metabolic and fluid and electrolyte balance fails, resulting in the development of clinical symptoms like uraemia or azotemia. Thyroid hormones have an important role in regulating metabolism, development of the kidney, maintenance of water and electrolyte homeostasis, protein synthesis and influencing other hormone function. Tri-iodothyronine (T3) and thyroxin (T4) are the two main hormones produced by the thyroid. The patients with chronic renal failure often exhibit clinical features and laboratory findings which are indicative of thyroid dysfunction, since, kidney is involved in the metabolism and elimination of TH.

Methods: This was a cross sectional single centre descriptive study, including 50 patients of either gender between the age of 45-70 years.

Results: Present study found a significant positive correlation between the TSH levels and Zulewski score in patients with CRF.

Conclusions: Since there was found to be a correlation between the TSH levels and Zulewski score, the evaluation of symptoms and signs with Zulewski score in addition to thyroid function testing in patients with thyroid dysfunction is essential, since it can be a marker for CRF.

References

Smeltzer SCO, Bare BG, Hinkle JL, Cheever KH, eds. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing, 11th ed., Lippincott Williams and Wilkins; 2006.

Shantha GPS, Kumar AA, Bhise V, Khanna R, Sivagnanam K, Subramanian KK. Prevalence of subclinical hypothyroidism in patients with end-stage renal disease and the role of serum albumin: a cross-sectional study from South India. Cardioren Med. 2011;1(4):255-60.

Mohamedali M, Maddika SR, Vyas A, Iyer V, Cheriyath P. Thyroid disorders and chronic kidney disease. Int J Nephrol. 2014;2014:1-6.

Iglesias P, Díez JJ. Thyroid dysfunction and kidney disease. Eur Soc Endocrinol. 2009;160:503-15.

Avasthi G, Malhotra S, Narang APS, Sengupta S. Study of thyroid function on patients of chronic renal failure. Indian J Nephrol. 2001;11:165-9.

Lim VS, Fang VS, Katz AI, Refetoff S. Thyroid dysfunction in chronic renal failure: a study of the pituitary-thyroid axis and peripheral turnover kinetics of thyroxin and tri-iodothyronine. J Clin Investig. 1977;60(3):522-34.

Silverberg DS, Ulan RA, Fawcett DM, Dossetor JB, Grace M, Bettcher K. Effects of chronic hemodialysis on thyroid function in chronic renal failure. Canadian Med Assoc J. 1973;109(4):282-6.

Gillett M. Subclinical hypothyroidism: subclinical thyroid disease: scientific review and guidelines for diagnosis and management. Clin Biochem Rev. 2004;25(3):191-4.

Kim EO, Lee IS, Choi YA. Unresolved subclinical hypothyroidism is independently associated with progression of chronic kidney disease. Int J Med Sci. 2014;11(1):52-9.

Basu G, Mohapatra A. Interactions between thyroid disorders and kidney disease. Indian J Endocrinol Metab. 2012;16(2):204-13.

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Published

2017-05-27

How to Cite

Pakhle, K., Parikh, R., Jain, A., Kashyap, P., Dave, D., & Bhate, A. (2017). Thyroid dysfunctions in patients with chronic renal failure. International Journal of Research in Medical Sciences, 5(6), 2773–2778. https://doi.org/10.18203/2320-6012.ijrms20172485

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Section

Original Research Articles