Publication: Hypothyroidism Induced Hyponatremia: A Case Report
Date
2022
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 815 - 816
Publisher
Nepal Medical Association
Abstract
Abstract
Thyroid hormones have various effects on the body which include electrolyte and water hemostasis. It is also involved in renal development and physiology. Hyponatremia is a serious electrolyte imbalance that can be associated with the involvement of different body systems and a wide range of deleterious changes. We report a case of a 62-years-old female with the symptoms of severe hyponatremia like altered mental sensorium with a serum sodium level of 110 meq/l. After ruling out other causes, a final diagnosis of hypothyroidism was made. On treating hypothyroidism the symptoms of hyponatremia were resolved. Therefore, thyroid stimulating hormone determination is mandatory during the evaluation of hyponatremia. And, those patients should be treated with fluid restriction and treatment of hypothyroidism.
Description
Gyabina Maharjan
Kirtipur Hospital, Devdhoka, Kritipur, Nepal
Mandeep Kumar Yadav
Nepal Bharat Maitri Hospital, Mitrapark, Kathmandu, Nepal
Nirajan Khati
Vayodha Hospital, Balkhu, Kathmandu, Nepal
Shailendra Kumar Yadav
Ishan Children and Women’s Hospital, Basundhara, Kathmandu, Nepal
https://orcid.org/0000-0001-6638-5503
Tulsi Ram Shrestha
Nepal Bharat Maitri Hospital, Mitrapark, Kathmandu, Nepal
Keywords
Case reports, Hyponatremia, Hypothyroidism, Myxedema coma
Identifier
https://doi.org/10.31729/jnma.7471