Users Online: 377
Home Print this page Email this page Small font size Default font size Increase font size
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 39-41

Clinical relevance of hypothyroidism screening in a child with an unexplained elevated serum creatinine


Department of Pediatrics, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Hassan Alshehri
Department of Pediatrics, College of Medicine, Al-Imam Muhammad Ibn Saud Islamic University, Otham Ibn Affan Road, PO Box 7544, Riyadh 13317-4233
Saudi Arabia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

The association of hypothyroidism with a reduction in glomerular filtration rate and renal plasma flow is widely mentioned in the literature. However, elevation of serum creatinine (SCr) is not frequently described in the textbooks and literature as an indicator of hypothyroidism. Here, we present a 6-year-old girl who had deprived the energy for vigorous physical activity and reported fatigue to perform her daily activities with no other history of significant medical conditions with unremarkable physical examination. All her initial laboratory findings were within the normal range except an increased SCr level (75 μmol/L). The presence of nonspecific symptoms and unexplained elevation of SCr led to endocrinological investigations, which revealed hypothyroidism caused by autoimmune thyroiditis. Replacement therapy with thyroxine improved her hypothyroid state and SCr level to normal after 6 weeks. Therefore, we recommend measurement of thyroid function in these patients to rule out the likelihood of hypothyroidism.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1088    
    Printed149    
    Emailed0    
    PDF Downloaded142    
    Comments [Add]    

Recommend this journal