Urinary loss of thyroid hormones: An issue to remember.
Endocrinol Diabetes Nutr (Engl Ed)
; 70(10): 649-653, 2023 Dec.
Article
en En
| MEDLINE
| ID: mdl-38065629
A 45-year-old woman suffering from primary hypothyroidism, previously well substituted with levothyroxine, was urgently referred from Primary Care to Endocrinology due to very elevated thyrotropin, free thyroxine at low limit of normality, very high cholesterol and generalised oedema. Hypothyroidism was suspected as the main aetiology of this clinical condition. A detailed examination showed nephrotic range proteinuria and the patient was finally diagnosed with lupus nephritis. Urinary loss of thyroid hormones, fundamentally linked to their transport proteins, in patients affected by nephrotic syndrome is sometimes a forgotten phenomenon and one which should be considered in patients with increased levothyroxine requirements. In this report, we present the details of this case and a brief review of the literature on this topic.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hipotiroidismo
/
Síndrome Nefrótico
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Endocrinol Diabetes Nutr (Engl Ed)
Año:
2023
Tipo del documento:
Article
Pais de publicación:
España