Case report of hypothyroidism presenting with myxedema ascites

Primary hypothyroidism rarely presents with ascites. This clinical finding in a patient with history suggestive of hypothyroidism should prompt thyroid testing. Diagnostic workup should include a paracentesis and determination of the SAAG. Review of the literature revealed sixty three well documente...

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Main Authors:	Marc Atzenhoefer, MD, Jeanette H. Man, BS, Ehab R. Saad, MD, FACP, FASN
Format:	Article
Language:	English
Published:	Elsevier 2017-06-01
Series:	Journal of Clinical and Translational Endocrinology Case Reports
Online Access:	http://www.sciencedirect.com/science/article/pii/S2214624516300314

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spelling	doaj-3b578b2a720a45b695042ff1375281ee2020-11-24T21:04:38ZengElsevierJournal of Clinical and Translational Endocrinology Case Reports2214-62452017-06-01457Case report of hypothyroidism presenting with myxedema ascitesMarc Atzenhoefer, MD0Jeanette H. Man, BS1Ehab R. Saad, MD, FACP, FASN2Department of Medicine, Froedtert and Medical College of Wisconsin, USA; Corresponding author.Medical College of Wisconsin School of Medicine, USADepartment of Nephrology, Froedtert and Medical College of Wisconsin, USAPrimary hypothyroidism rarely presents with ascites. This clinical finding in a patient with history suggestive of hypothyroidism should prompt thyroid testing. Diagnostic workup should include a paracentesis and determination of the SAAG. Review of the literature revealed sixty three well documented cases of myxedema ascites. A majority of these had SAAGs of >1.1g/dL and total proteins of >2.5 g/dL. Myxedema as a cause of ascites should be considered and ruled in by exclusion. Treatment with thyroid replacement remains an effective solution with an excellent prognosis.http://www.sciencedirect.com/science/article/pii/S2214624516300314
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Marc Atzenhoefer, MD Jeanette H. Man, BS Ehab R. Saad, MD, FACP, FASN
spellingShingle	Marc Atzenhoefer, MD Jeanette H. Man, BS Ehab R. Saad, MD, FACP, FASN Case report of hypothyroidism presenting with myxedema ascites Journal of Clinical and Translational Endocrinology Case Reports
author_facet	Marc Atzenhoefer, MD Jeanette H. Man, BS Ehab R. Saad, MD, FACP, FASN
author_sort	Marc Atzenhoefer, MD
title	Case report of hypothyroidism presenting with myxedema ascites
title_short	Case report of hypothyroidism presenting with myxedema ascites
title_full	Case report of hypothyroidism presenting with myxedema ascites
title_fullStr	Case report of hypothyroidism presenting with myxedema ascites
title_full_unstemmed	Case report of hypothyroidism presenting with myxedema ascites
title_sort	case report of hypothyroidism presenting with myxedema ascites
publisher	Elsevier
series	Journal of Clinical and Translational Endocrinology Case Reports
issn	2214-6245
publishDate	2017-06-01
description	Primary hypothyroidism rarely presents with ascites. This clinical finding in a patient with history suggestive of hypothyroidism should prompt thyroid testing. Diagnostic workup should include a paracentesis and determination of the SAAG. Review of the literature revealed sixty three well documented cases of myxedema ascites. A majority of these had SAAGs of >1.1g/dL and total proteins of >2.5 g/dL. Myxedema as a cause of ascites should be considered and ruled in by exclusion. Treatment with thyroid replacement remains an effective solution with an excellent prognosis.
url	http://www.sciencedirect.com/science/article/pii/S2214624516300314
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Case report of hypothyroidism presenting with myxedema ascites

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