Biochemical markers of liver and kidney function are influenced by thyroid function-a case-controlled follow up study in Indian hypothyroid subjects |
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| Authors: | Sarika Arora Ranjna Chawla Devika Tayal Vinod K Gupta Jagdeep S Sohi V Mallika |
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| Institution: | (1) Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226 014, India; |
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| Abstract: | Thyroid hormones regulate the renal hemodynamics and basal metabolic rate of most cells. This hospital-based case-control
study was done to evaluate the changes in biochemical markers of liver and kidney function in hypothyroid subjects before
and after treatment. The study included 176 subjects randomly selected from Thyroid clinics. Serum T3, T4, TSH, Liver and Kidney Function tests were analysed using standard kits. Forty-six hypothyroid patients were re-evaluated
6 weeks after thyroxine substitution therapy. Hypothyroid subjects (n=80) showed significantly raised serum creatinine and
uric acid levels as compared to euthyroid subjects (n=96). After 6 weeks of thyroxine replacement, serum creatinine and uric
acid decreased significantly and were comparable to euthyroid group. A positive correlation of ALT, AST, uric acid, protein
and albumin with TSH levels (p<0.05) and negative correlation of serum T4 levels with ALT, AST, proteins (p<0.05) was observed in the hypothyroid group. Hypothyroidism results in reversible impairment
of hepatorenal function. |
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