Soffer O, Chary K R, Hall W D
Arch Intern Med. 1980 May;140(5):708-9.
A variety of metabolic and endocrine abnormalities are encountered in chronic renal failure. Nontoxic goiter and laboratory results suggesting hypothyroidism are known. Less well known are thyroid function tests suggesting hyperthyroidism in clinically euthyroid patients. To our knowledge, ours is the first documented case of a patient who experienced both clinical and biochemical hyperthyroidism after four years of long-term hemodialysis therapy.
慢性肾衰竭会出现多种代谢和内分泌异常。无毒甲状腺肿以及提示甲状腺功能减退的实验室检查结果已为人所知。而临床甲状腺功能正常的患者出现提示甲状腺功能亢进的甲状腺功能检查结果则鲜为人知。据我们所知，我们的病例是首例有记录的在长期血液透析治疗四年后出现临床和生化甲状腺功能亢进的患者。
