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العنوان
Evaluation of Thyroid Functions in Patients with End Stage Renal Disease in a Sample of Egyptian Populations/
المؤلف
Shafik,David Ezzat
هيئة الاعداد
باحث / ديفيد عزت شفيق سوارس
مشرف / ايناس محمد صبري
مشرف / منار عبد الرؤوف رأفت
مشرف / احمد محمد بهاء الدين
مشرف / حنان محمود علي محمود
تاريخ النشر
2023
عدد الصفحات
219.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
22/1/2023
مكان الإجازة
جامعة عين شمس - كلية الطب - Internal Medicine
الفهرس
Only 14 pages are availabe for public view

from 219

from 219

Abstract

Abstract
Background: In most cases, hypothyroidism is not linked to kidney disease. However, hypothyroidism has been shown to hasten the development of chronic kidney disease (CKD).
Aim of the work: to evaluate thyroid abnormalities in patients with end stage renal disease in a sample of Egyptian populations.
Patients and methods: This study was conducted with 70 Egyptian Patients selected from Nephrology department in Theodor Bilharz Research Institute, in a case control study, they were categorized into 2 groups group 1: Stage V renal disease group (n=40): patients with eGFR <15 mL/min with no history of thyroid disease or receiving any thyroid medications. group 2: Age and sex matched health population group (n=30): with normal renal function with no history of thyroid disease or receiving any thyroid medications. All subjects underwent full thyroid profile, and estimated GFR.
Results: Symptoms of thyroid dysfunction were more frequent in end stage group, the difference statistically were significant only in muscle weakness. TSH was statistically significantly higher in cases with hypothyroidism. TGABs were statistically significantly higher in cases with hypothyroidism. Antimicrosomal antibodies recorded only in hypothyroid cases, the differences were statistically significant. FT3, TSH, TGABs and thyroid volume statistically had perfect diagnostic performance in diagnosing hypothyroidism among end stage renal disease group.
Conclusion: Frequency of hypothyroidism was higher in end stage renal disease patients compared to control group. So, it is important to keep monitoring thyroid functions in patients with advanced renal impairment that may enhance quality of life.