A case of subacute renal injury with myxoedema coma treated with hemodialysis and successfully weaned from dialysis with thyroid hormone replacement
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- Nakamura Yurina
- Department of Nephrology, National Hospital Organization Kumamoto Medical Center
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- Kajiwara Kengo
- Department of Nephrology, National Hospital Organization Kumamoto Medical Center
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- Yano Yuko
- Department of Nephrology, National Hospital Organization Kumamoto Medical Center
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- Matsushita Koki
- Department of Nephrology, National Hospital Organization Kumamoto Medical Center
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- Yoshii Ryuichi
- Department of Nephrology, National Hospital Organization Kumamoto Medical Center
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- Nakamura Tomofumi
- Department of Nephrology, National Hospital Organization Kumamoto Medical Center
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- Tomita Masao
- Department of Nephrology, National Hospital Organization Kumamoto Medical Center
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- Kinoshita Hiroyuki
- Department of Diabetes and Endocrinology, National Hospital Organization Kumamoto Medical Center
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- Mukoyama Masashi
- Department of Nephrology, Graduate School of Medical Sciences, Kumamoto University
Bibliographic Information
- Other Title
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- 粘液水腫性昏睡を伴う亜急性腎障害に血液透析を行うも甲状腺ホルモン補充により透析離脱しえた1例
- ネンエキ スイシュセイ コンスイ オ トモナウ アキュウセイジンショウガイ ニ ケツエキ トウセキ オ オコナウ モ コウジョウセン ホルモン ホジュウ ニ ヨリ トウセキ リダツ シエタ 1レイ
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Description
<p>The patient was a 90-year-old woman. She was brought to our hospital for close examination and treatment, including the introduction of dialysis. Renal dysfunction that had worsened from Cre:1.97 to 3.86 mg/dL over a period of 1 year, respiratory distress, and pleural effusion were also observed. After hospitalization and close examination, myxoedema coma was diagnosed, and thyroid hormone replacement was performed along with continuous hemodiafiltration (CHDF). The renal function showed improvement and the patient was transferred to hemodialysis (HD), and could be subsequently weaned off HD. Hypothyroidism is an infrequent cause of renal dysfunction, but prompt intervention has been shown to improve the renal function. When searching for the cause of renal dysfunction, as in the present case, hypothyroidism should be considered, and close examination, including measurement of hormone levels, should be performed.</p>
Journal
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- Nihon Toseki Igakkai Zasshi
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Nihon Toseki Igakkai Zasshi 56 (5), 177-181, 2023
The Japanese Society for Dialysis Therapy
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Keywords
Details 詳細情報について
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- CRID
- 1390014790994680960
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- NII Book ID
- AN10432053
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- ISSN
- 1883082X
- 13403451
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- NDL BIB ID
- 032904270
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed