title: Hypothyroid acute renal failure.
abstract: Muscular disorders and even hypothyroid myopathy with elevated muscle enzymes are commonly seen in hypothyroidism. In this paper, we report a case of acute renal failure in a 35-year old male patient with myalgia. His serum creatinine reached a level of 2.4 mg/dl. Later, his myalgia was found to be due to hypothyroidism with TSH of over 500 uiv/ml. With thyroid replacement therapy, myalgia and his serum creatinine stabilized and subsequently improved. Hypothyroidism, although rare, has been reported as a definite and authentic cause of rhabdomyolysis. As a result, hypothyroidism must be considered in patients presenting with acute renal failure and elevated muscle enzymes.
authors.affiliation: Internal Medicine Residency Program, USD School of Medicine, Sioux Falls, SD, USA.
authors.forename: Sonali
authors.initials: S
authors.lastname: Birewar
authors.forename: Mark
authors.initials: M
authors.lastname: Oppenheimer
authors.forename: Edward T
authors.initials: ET
authors.lastname: Zawada
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000188:drug therapy; D008297:Male; D012206:Rhabdomyolysis / Q000209:etiology*; D013974:Thyroxine / Q000627:therapeutic use
chemical_list: D013974:Thyroxine