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Linking thyroid dysfunction with chronic kidney disease among Indian patients.
Gayathri Chelamkuri1, Nalugotla Lakshmanna1, Vadlamudi Chandramohan2
1Department of Biochemistry, Kurnool Medical College, Kurnool, Andhra Pradesh, India.
Chronic kidney disease significantly impacts thyroid function, with 65.56% of patients showing thyroid abnormalities. This highlights the need for clinical attention to thyroid derangements in kidney disease management.
Area of Science:
- Nephrology
- Endocrinology
- Internal Medicine
Background:
- Chronic kidney disease (CKD) is associated with complex metabolic disturbances.
- The pituitary-thyroid axis and peripheral thyroid hormone metabolism can be significantly affected in CKD patients.
- Thyroid dysfunction is a recognized complication in individuals with kidney disease.
Purpose of the Study:
- To investigate the prevalence of thyroid abnormalities in patients diagnosed with chronic kidney disease.
- To examine the relationship between kidney function markers and thyroid biomarkers in CKD patients.
Main Methods:
- A cross-sectional study was conducted involving 90 patients with diagnosed chronic kidney disease.
- Blood parameters including urea, creatinine, and thyroid biomarkers were analyzed.
- Pearson's correlation was used to assess the relationship between serum thyroid-stimulating hormone and estimated glomerular filtration rate.
Main Results:
- A high prevalence of thyroid abnormalities was observed, affecting 65.56% (59 out of 90) of the study participants.
- A significant negative correlation was found between serum thyroid-stimulating hormone levels and estimated glomerular filtration rate (r=-0.04, P=0.001).
- Derangements in thyroid biomarkers were common in the CKD patient group.
Conclusions:
- Thyroid dysfunction is prevalent and clinically relevant in patients with chronic kidney disease.
- These findings underscore the importance of monitoring thyroid function in CKD management.
- Awareness of these thyroid derangements can aid clinicians in providing improved patient care for individuals with kidney disease.
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