[Clinical case of acute renal failure revealing an autoimmune hypothyroidism].
Although the clinic picture is often indicative of muscle manifestations in patients with hypothyroidism, signs and symptoms of this condition are variable from simple elevation of serum muscle enzymes with myalgia, muscle weakness, cramps to rhabdomyolysis with acute renal failure which remains a rare event. Thyroid hormones affect the function of almost every body organ, and thyroid dysfunction produces a wide range of metabolic disturbances. Hypothyroidism is associated with significant effects on the kidney which the pathophysiology seems to be multifactorial, but the exact mechanisms remain poorly understood. Hypothyroidism as a cause of renal impairment is usually overlooked, leading to unnecessary diagnostic procedures. The main objective of our observation is to report a case of acute renal failure revealing an autoimmune hypothyroidism in which thyroid hormone substitution led to a significant improvement in muscular, thyroid and renal disorders.
Montasser
Dina Ibrahim
DI
Service de néphrologie-dialyse et de transplantation rénale, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, Hay Riad, CP 10000 Rabat, Maroc. dinamontasser@live.fr
Hassani
Mohamed
M
Zajjari
Yassir
Y
Bahadi
Abdelali
A
Alayoud
Ahmed
A
Hamzi
Amine
A
Hassani
Kawtar
K
Moujoud
Omar
O
Asseraji
Mohamed
M
Kadiri
Moncif
M
Aatif
Taoufik
T
El Kabbaj
Driss
D
Benyahia
Mohamed
M
Allam
Mustapha
M
Akhmouch
Ismail
I
Oualim
Zouhir
Z
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology*; D000368:Aged; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D013963:Thyroid Hormones / Q000627:therapeutic use; D013967:Thyroiditis, Autoimmune / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D013963:Thyroid Hormones