To study thyroid profile in CKD patients in Eastern Uttar Pradesh

Anupam Srivastava, Mahim Mittal, Minakshi Awasthi, Priyanka Rai, Mahima Goel
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Abstract

Chronic kidney disease (CKD) remains a universal pandemic that has evolved into a serious public health problem that imposes a significant socioeconomic burden. Thyroid profile is disrupted in CKD patients due to aberrant thyroid hormone metabolism. The purpose of our study was to assess thyroid function in people who had chronic renal disease (CKD).According to the inclusion-exclusion criteria, this cross-sectional observational research enrolled 150 chronic renal disease patients.All patients who met the above criteria underwent a detailed history as well as a general and systemic examination. Thyroid function tests, USG entire abdomen, chest X-ray, ECG, and 2D Echocardiogram, were performed. There were 84 men and 66 women among the 150 CKD patients. Thyroid hormone abnormalities were found in 93.3 % of the individuals. 14.7 % of the participants had hypothyroidism, 14.7 % had low T3 and T4 readings, 10% had low T4 values alone, 38 % had low T3 only, and 17% had subclinical hypothyroidism. Low T3 levels (58 %) were the most prevalent thyroid anomaly, with or without low T4 or elevated TSH levels. Low T3 levels were more common in patients with advanced CKD.Thyroid hormone abnormalities are linked to different stages of chronic renal disease.
研究印度北方邦东部慢性肾功能衰竭患者的甲状腺概况
慢性肾脏病(CKD)仍然是一种普遍流行的疾病,已演变成一个严重的公共卫生问题,给社会经济造成了巨大负担。由于甲状腺激素代谢异常,CKD 患者的甲状腺功能会受到干扰。我们的研究旨在评估慢性肾脏病(CKD)患者的甲状腺功能。根据纳入-排除标准,这项横断面观察性研究共纳入了 150 名慢性肾脏病患者。所有符合上述标准的患者都接受了详细的病史以及全身和系统检查。所有符合上述标准的患者都接受了详细的病史以及全身和系统检查,并进行了甲状腺功能测试、全腹部 USG、胸部 X 光检查、心电图和二维超声心动图检查。150 名慢性肾脏病患者中有 84 名男性和 66 名女性。93.3%的患者发现甲状腺激素异常。14.7%的参与者患有甲状腺功能减退症,14.7%的参与者T3和T4读数偏低,10%的参与者仅T4值偏低,38%的参与者仅T3值偏低,17%的参与者患有亚临床甲状腺功能减退症。T3水平低(58%)是最常见的甲状腺异常,无论是否伴有T4水平低或促甲状腺激素水平升高。甲状腺激素异常与慢性肾病的不同阶段有关。
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