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Follow-up of thyroid ultrasonography in patients with hemodialysis
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혈액투석 환자에서 갑상선 초음파의 추적

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Type
Academic journal
Author
Journal
영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제34권 제1호 KCI Accredited Journals
Published
2017.1
Pages
69 - 74 (6page)

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Follow-up of thyroid ultrasonography in patients with hemodialysis
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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.
#Goiter #Hemodialysis #Thyroid nodule #Ultrasonography

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Arciero CA / 2012 / Preoperative thyroid ultrasound is indicated in patients undergoing parathyroidectomy for primary hyperparathyroidism / J Cancer 3 : 1 ~ 6 google schola Burmeister LA / 1997 / Thyroid carcinoma found at parathyroidectomy: association with primary, secondary, and tertiary hyperparathyroidism / Cancer 79 : 1611 ~ 1616 google schola Hegedus L / 1985 / Thyroid gland volume and serum concentrations of thyroid hormones in chronic renal failure / Nephron 40 : 171 ~ 174 google schola Jung EJ / 2004 / Thyroid nodules in patients with secondary hyperparathyroidism / Korean J Endocr Surg 4 : 48 ~ 50 google schola Jusufovic S / 2011 / Role of chronic hemodialysis in thyroid gland morphology disorders / Med Arh 65 : 327 ~ 329 google schola

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