Hypothyroidism with Ascites

Authors

  • Md Titu Miah Assistant professor, Department of Medicine, Dhaka Medical College Hospital, Dhaka.
  • Raihan Rotap Khan Department of Medicine, Mymensingh Medical College Hospital, Dhaka
  • Zannatun Nur Post-graduate Trainee, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Syed Mohammad Ali Romel IMO, Department of Medicine, Mymensingh Medical College Hospital
  • Md Kamal Hossain Patwary IMO, Department of Medicine, Mymensingh Medical College Hospital
  • Shah Mohd Eftar Jahan Kabir IMO, Department of Medicine, Mymensingh Medical College Hospital

DOI:

https://doi.org/10.3329/jom.v10i2.2828

Keywords:

Ascites, Hypothyroidism

Abstract

Primary hypothyroidism is a common clinical condition. Ascites caused by hypothyroidism is rare. So its diagnosis is often delayed and patients frequently receive unnecessary procedures such as liver biopsies and exploratory laparotomies. We report a male person of 58 years with hypothyroidism with ascites who responded well with thyroid hormone replacement therapy with complete resolution of ascites. Analyses of ascites from patients in this condition usually shows exudative ascites with high protein (>2.5 g/dL) and SAAG < 1.1 gm/dl. High index of suspicion is required to reach at such diagnosis. Though it is a rare but prognosis is excellent with replacement therapy.

Key words: Ascites, Hypothyroidism.  

doi: 10.3329/jom.v10i2.2828  

J MEDICINE 2009; 10 : 121-123

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How to Cite

Miah, M. T., Khan, R. R., Nur, Z., Romel, S. M. A., Patwary, M. K. H., & Kabir, S. M. E. J. (2009). Hypothyroidism with Ascites. Journal of Medicine, 10(2), 121–123. https://doi.org/10.3329/jom.v10i2.2828

Issue

Section

Case Reports