Ascites due to hypothyroidism in a patient with alcoholic cirrhosis
Acta gastroenterol. latinoam
;
31(2): 77-81, 2001. tab
Article
Dans Anglais
| LILACS
| ID: lil-288644
RESUMO
Myxedema is the cause of ascites in less than 1 per cent of new-onset ascites cases, where as only 4 per cent of patients with hypothyroidism present ascites. When ascites is the first manifestation of thyroid insufficiency, there is usually a delay in diagnosis. We report here a case of myxedema ascites occuring in a patient with alcoholic cirrhosis, that was first thought to be the cause of the ascites, and review the features of 48 cases previously reported. Some clinic and analytical findings that have been commonly reported, are the prompt response (with resolution of ascites) to thyroid replacement treatment, a high total protein concentration in ascitec fluid, white moderate white blood cell counts and a lymphocyte predominance. Serum-ascites albumin gradient has been postulated to be high in myxedema ascites, but we believe this has been studied in too few cases thus far, to be conclusive.
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Indice:
LILAS (Amériques)
Sujet Principal:
Ascites
/
Cirrhose alcoolique
/
Myxoedème
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Acta gastroenterol. latinoam
Thème du journal:
Gastroentérologie
Année:
2001
Type:
Article
Pays d'affiliation:
Argentine
Institution/Pays d'affiliation:
Hospital Profesor Alejandro Posadas/AR
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