Khalid Sameen, Asad-Ur-Rahman Fnu, Abbass Aamer, Gordon Dwayne, Abusaada Khalid
Internal Medicine Residency, Florida Hospital-Orlando.
Graduate Medical Education, Florida Hospital-Orlando.
Cureus. 2016 Dec 5;8(12):e912. doi: 10.7759/cureus.912.
Less than four percent of patients with hypothyroidism develop ascites. Ascites as the presenting feature of hypothyroidism is uncommon, hence diagnosis is often delayed. Once it is diagnosed, treatment of hypothyroidism leads to quick clinical improvement in ascites. We report a case of a female patient who presented with ascites secondary to severe hypothyroidism and discuss the diagnostic characteristics of the ascitic fluid in myxedema ascites on the basis of literature review.
甲状腺功能减退症患者中腹水发生率不到4%。以腹水为甲状腺功能减退症首发表现的情况并不常见,因此诊断往往延迟。一旦确诊,甲状腺功能减退症的治疗可使腹水迅速得到临床改善。我们报告一例因严重甲状腺功能减退症继发腹水的女性患者,并在文献复习的基础上讨论黏液性水肿性腹水的腹水诊断特征。