Abnormal endocrine tests in a hemodialysis patient. | Zendy

Linda A. Hochstetler | Zendy; Michael J. Flanigan | Zendy; Victoria S. Lim | Zendy

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Abnormal endocrine tests in a hemodialysis patient.

Author(s) -

Linda A. Hochstetler,

Michael J. Flanigan,

Victoria S. Lim

Publication year - 1994

Publication title -

journal of the american society of nephrology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 4.451

H-Index - 279

eISSN - 1533-3450

pISSN - 1046-6673

DOI - 10.1681/asn.v4101754

Subject(s) - prolactin , medicine , endocrinology , hormone , triiodothyronine , endocrine system , thyrotropin releasing hormone , thyroid , hemodialysis , thyroid stimulating hormone , endocrine gland , thyroid function tests

A home hemodialysis patient with abnormal thyroid function tests and hyperprolactinemia is presented. Abnormal thyroid tests included low total triiodothyronine and low total thyroxine and free thyroxine; the latter was documented by the use of both RIA and direct dialysis equilibrium techniques. Serum thyroid-stimulating hormone was normal, and the thyroid-stimulating hormone response to thyrotropin-releasing hormone stimulation was in the low-normal range. Serum prolactin was elevated to more than twice the normal level, and the prolactin response to thyrotropin-releasing hormone was also blunted. The interpretation, pathogenesis, physiologic significance, and management of these abnormalities are discussed.

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