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Case Reports
. 2022 Sep 1;60(253):815-816.
doi: 10.31729/jnma.7471.

Hypothyroidism Induced Hyponatremia: A Case Report

Gyabina Maharjan  1 , Mandeep Kumar Yadav  2 , Nirajan Khati  3 , Shailendra Kumar Yadav  4 , Tulsi Ram Shrestha  2
Affiliations
Case Reports

Hypothyroidism Induced Hyponatremia: A Case Report

Gyabina Maharjan et al. JNMA J Nepal Med Assoc. .

Abstract

Thyroid hormones have various effects on the body which include electrolyte and water hemostasis. It is also involved in renal development and physiology. Hyponatremia is a serious electrolyte imbalance that can be associated with the involvement of different body systems and a wide range of deleterious changes. We report a case of a 62-years-old female with the symptoms of severe hyponatremia like altered mental sensorium with a serum sodium level of 110 meq/l. After ruling out other causes, a final diagnosis of hypothyroidism was made. On treating hypothyroidism the symptoms of hyponatremia were resolved. Therefore, thyroid stimulating hormone determination is mandatory during the evaluation of hyponatremia. And, those patients should be treated with fluid restriction and treatment of hypothyroidism.

Keywords: case reports; hyponatremia; hypothyroidism; myxedema coma..

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References

    1. Shakoor MT, Moahi K, Shemin D. Hypothyroidism-induced Acute Kidney Injury and Hyponatremia. R I Med J (2013). 2020 Sep 1;103(7):61–4. - PubMed
    1. Rizzo LFL, Mana DL, Bruno OD, Wartofsky L. Coma mixedematoso [Myxedema coma]. Medicina (B Aires). 2017;77(4):321–8. - PubMed
    1. Wall CR. Myxedema coma: diagnosis and treatment. Am Fam Physician. 2000 Dec 1;62(11):2485–90. - PubMed
    1. Alqahtani HA, Almagsoodi AA, Alshamrani ND, Almalki TJ, Sumaili AM. Common electrolyte and metabolic abnormalities among thyroid patients. Cureus. 2021 May 30;13(5):e15338. doi: 10.7759/cureus.15338. - DOI - PMC - PubMed
    1. Verbalis JG, Goldsmith SR, Greenberg A, Korzelius C, Schrier RW, Sterns RH, et al. Diagnosis, evaluation, and treatment of hyponatremia: expert panel recommendations. Am J Med. 2013 Oct;126(10 Suppl 1):S1–42. doi: 10.1016/j.amjmed.2013.07.006. - DOI - PubMed

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