Follow-up of thyroid ultrasonography in patients with hemodialysis / 영남의대학술지
Yeungnam University Journal of Medicine
; : 69-74, 2017.
Article
en Ko
| WPRIM
| ID: wpr-787047
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: Chronic kidney disease is considered a risk factor for thyroid nodules as well as thyroid dysfunction such as hypothyroidism. Among patients on hemodialysis, we assessed the size of thyroid nodule and goiter at baseline and 1 year later with ultrasonography.METHODS: We prospectively selected 47 patients with hemodialysis at January 2012 and reviewed their medical records. We checked goiter and thyroid nodules at January 2012 and December 2012.RESULTS: In the hemodialysis patients (n=47), 24 patients (51.1%) had thyroid nodules and 33 patients (70.2%) had goiter at baseline. Parathyroid hormone (PTH) was higher in patients with thyroid nodules (204.4±102.9 vs. 129.9±93.6 pg/mL, p=0.01). Thyroid ultrasonography was conducted in 29 patients after 1 year. The thickness of the thyroid isthmus increased (2.8±1.6 vs. 3.2±1.9 mm, p=0.003), but the number of nodules did not change (1.2±1.9 vs. 1.4±2.0, p=0.109). PTH was associated with the enlargement of thyroid nodules significantly through logistic regression analysis.CONCLUSION: Thyroid goiter and nodules in hemodialysis patients were more prevalent than in the general population. PTH influenced the production of thyroid nodules in hemodialysis patients. Regular examination with thyroid ultrasonography and thyroid function test should be considered in hemodialysis patients.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Hormona Paratiroidea
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Pruebas de Función de la Tiroides
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Glándula Tiroides
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Modelos Logísticos
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Registros Médicos
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Estudios Prospectivos
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Factores de Riesgo
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Estudios de Seguimiento
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Ultrasonografía
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Diálisis Renal
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
Yeungnam University Journal of Medicine
Año:
2017
Tipo del documento:
Article