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

논문 기본 정보

Type
Academic journal
Author
Kim, Hyun-Jung (경상대학교 의학전문대학원 내과학교실) Kim, Bo Ra (경상대학교 의학전문대학원 내과학교실) Seo, Yeong-Mi (경남과학기술대학교 간호학과) Cho, Yoon Young (경상대학교 의학전문대학원 내과학교실) Baek, Jong-Ha (창원경상대학교병원 내분비대사내과) Kim, Kyong Young (창원경상대학교병원 내분비대사내과) Kim, Soo-Kyung (경상대학교 의학전문대학원 내과학교실) Woo, Seung-Hoon (경상대학교 건강과학연구원)
Journal
영남대학교 의과대학 영남의대학술지 영남의대학술지 제34권 제1호
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 ($204.4{\pm}102.9$ vs. $129.9{\pm}93.6pg/mL$, p=0.01). Thyroid ultrasonography was conducted in 29 patients after 1 year. The thickness of the thyroid isthmus increased ($2.8{\pm}1.6$ vs. $3.2{\pm}1.9mm$, p=0.003), but the number of nodules did not change ($1.2{\pm}1.9$ vs. $1.4{\pm}2.0$, 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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