1984
DOI: 10.1177/039139888400700303
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Thyroid Status and Nephron Loss - A study in Patients with Chronic Renal Failure, End Stage Renal Disease and/or on Hemodialysis

Abstract: Thyroid function was measured in 30 healthy subjects and 84 patients with various degrees of nephron loss (GRF: 70 +/- 15 m/min, 30 +/- 16 ml/min, 10 +/- 7 ml/min and 2.1 +/- 1.3 ml/min). A low T3 and T4 syndrome is evident when GRF is reduced to 30 +/- 16 ml/min while a blunted TSH response is detected earlier in the course of nephron loss. T3 response to TRH was normal and FT4 was not affected by renal dysfunction. The data indicate that in nephron loss hypothalamic-pituitary abnormalities occur.

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Cited by 8 publications
(3 citation statements)
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“…Low T3 had been reported by Ramirez et al, Hegedus et al, Beckett et al, Singh et al, Iglesias et al and many others. [3][4][5][6][7] Ramirez and Spector et al study showed linear correlation between mean serum T3 and T4 and severity of renal failure which was similar to this study. 3,8 The TSH values in our study ranged from 0.01-30.13 micro IU/ml, the mean value being 4.69.…”
Section: Discussionsupporting
confidence: 87%
See 1 more Smart Citation
“…Low T3 had been reported by Ramirez et al, Hegedus et al, Beckett et al, Singh et al, Iglesias et al and many others. [3][4][5][6][7] Ramirez and Spector et al study showed linear correlation between mean serum T3 and T4 and severity of renal failure which was similar to this study. 3,8 The TSH values in our study ranged from 0.01-30.13 micro IU/ml, the mean value being 4.69.…”
Section: Discussionsupporting
confidence: 87%
“…Kayima, et a1 and Giordano, et al have showed 90 studies regarding effect of dialysis on CKD patients with thyroid dysfunction. 5,14 These studies showed no significant improvement in thyroid profile after repeated haemodialysis. But in the patients who had undergone renal transplant surgery, most of the thyroid function parameters returned to normal with TSH below normal.…”
Section: Discussionmentioning
confidence: 90%
“…while T 4 is less affected; 46,47 however, some patients with end-stage renal disease are also diagnosed with hypothyroidism. 48 It has also been reported that other metabolic routes may be enhanced, resulting in higher T 3 sulphate concentrations.…”
Section: Renally Impaired Patientsmentioning
confidence: 99%