Hypothyroidism and acute kidney injury: An unusual association

Association between severe hypothyroidism and acute kidney injury (AKI) is rare. A 40-year-old woman presented with 15 days history of generalised muscle pain, weakness, weight gain and oedema. Medical history: hypertension and hypothyroidism. Physical examination: dry skin, peripheral/periorbital oedema, slow thought and speaking, thyroid increased. Laboratory examinations: high levels of creatine kinase , creatinine, uric acid and lactate dehydrogenase. Free T4 was very low (<0.3 ng/dL) and thyroid-stimulating hormone was high (21.7 mIU/mL). Urinalysis showed haem pigment without haematuria. We performed the diagnosis of AKI secondary to hypothyroidism-induced rhabdomyolysis. Intravenous fluids were started, urinary alkalisation and increased l-thyroxine dose replacement. On the day after admission, forced diuresis with furosemide was introduced leading to a progressive improvement of symptoms. Although hypothyroidism and AKI is unusual, it should be suspected in patients presenting decrease of renal function and high creatine kinase in the absence of other causes of rhabdomyolysis.

Exposición del Brigadier General Sr. Luis Danus Covián, Ministro Director de la Oficina de Planificación Nacional, del Gobierno de Chile, en la ceremonia inaugural del Simposio

El expositor resalta la importancia del Simposio, que reside en pretender analizar, a la luz de diversas corrientes ideológicas, los principales escollos con que se han topado los países de Latinoamérica para llevar adelante sus políticas de desarrollo social. Se refiere principalmente a la experiencia chilena en este campo.

The macro-economic effects and reconstruction requirements following hurricanes Luis and Marilyn in Saint Maarten, Netherlands Antilles = Los efectos macroeconómicos y las necesidades de reconstrucción en Saint Maarten, Antillas Neerlandesas, después de los huracanes Luis y Marilyn

Incluye Bibliografía

The macro-economic effects and reconstruction requirements following hurricane Luis in the Island of Anguilla

Includes bibliography

Geomorfologia e hidrossedimentologia da planície do Rio Paraguai, da Lagoa Vermelha à confluência do Rio Miranda, Pantanal Mato-Grossense

Pós-graduação em Geociências e Meio Ambiente - IGCE

O arranjo de fotografias em unidades de informação: fundamentos teóricos e aplicações práticas a partir do Fundo José Pedro Miranda do Arquivo Público e Histórico de Ribeirão Preto

Pós-graduação em Ciência da Informação - FFC

As peculiaridades na escrita pianística de Ronaldo Miranda: sugestões interpretativas e técnico-musicais

Pós-graduação em Música - IA