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Follow-up of thyroid ultrasonography in patients with hemodialysis / 영남의대학술지
Yeungnam University Journal of Medicine ; : 69-74, 2017.
Article in Korean | WPRIM | ID: wpr-787047
ABSTRACT

BACKGROUND:

Chronic kidney disease is considered a risk factor for thyroid nodules as well as thyroid dysfunction such as hypothyroidism. Among patients on hemodialysis, we assessed the size of thyroid nodule and goiter at baseline and 1 year later with ultrasonography.

METHODS:

We prospectively selected 47 patients with hemodialysis at January 2012 and reviewed their medical records. We checked goiter and thyroid nodules at January 2012 and December 2012.

RESULTS:

In the hemodialysis patients (n=47), 24 patients (51.1%) had thyroid nodules and 33 patients (70.2%) had goiter at baseline. Parathyroid hormone (PTH) was higher in patients with thyroid nodules (204.4±102.9 vs. 129.9±93.6 pg/mL, p=0.01). Thyroid ultrasonography was conducted in 29 patients after 1 year. The thickness of the thyroid isthmus increased (2.8±1.6 vs. 3.2±1.9 mm, p=0.003), but the number of nodules did not change (1.2±1.9 vs. 1.4±2.0, p=0.109). PTH was associated with the enlargement of thyroid nodules significantly through logistic regression analysis.

CONCLUSION:

Thyroid goiter and nodules in hemodialysis patients were more prevalent than in the general population. PTH influenced the production of thyroid nodules in hemodialysis patients. Regular examination with thyroid ultrasonography and thyroid function test should be considered in hemodialysis patients.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Parathyroid Hormone / Thyroid Function Tests / Thyroid Gland / Logistic Models / Medical Records / Prospective Studies / Risk Factors / Follow-Up Studies / Ultrasonography / Renal Dialysis Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study Limits: Humans Language: Korean Journal: Yeungnam University Journal of Medicine Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Parathyroid Hormone / Thyroid Function Tests / Thyroid Gland / Logistic Models / Medical Records / Prospective Studies / Risk Factors / Follow-Up Studies / Ultrasonography / Renal Dialysis Type of study: Diagnostic study / Etiology study / Observational study / Prognostic study Limits: Humans Language: Korean Journal: Yeungnam University Journal of Medicine Year: 2017 Type: Article