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Ann Geriatr Med Res > Volume 17(4); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(4):249-252.
DOI: https://doi.org/10.4235/jkgs.2013.17.4.249    Published online December 31, 2013.
Hypothyroidism With Acute Renal Failure and Heart Failure
Jae Ha Kim, Sang Mo Hong, Yong Soo Park, Chang Beom Lee, Jae Gon Lee, Eun Young Choi, Byung Sihk Kim
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. lanugo@me.com
급성 신부전, 심부전이 동반된 갑상선기능저하증 1예
한양대학교 의과대학 내과학교실
Here we report a 65-year-old male patient initially presented with dyspnea and chest discomfort. This patient was finally diagnosed with severe hypothyroidism accompanied by heart failure, pericardial effusion and acute renal failure. We suspected that heart failure, pericardial effusion and acute kidney injury were induced by severe hypothyroidism. Thus, we began thyroid hormone replacement therapy. After the therapy, the patient's dyspnea and chest discomfort were improved. Hypothyroidism has many complications, such as myxedema, dyslipidemia, and depression. In contrast, heart failure, pericardial effusion, and acute kidney injury are very rare complications of hypothyroidism. Only a few cases of heart failure or renal failure combined with hypothyroidism have been reported. Our case suggests that severe hypothyroidism can lead to multiorgan failure, such as heart failure as well as renal failure. Moreover, congestive heart failure induced by severe hypothyroidism can be reversed by thyroid hormone replacement therapy.
Key Words: Hypothyroidism, Acute kidney injury, Heart failure, Pericardial effusion
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