Abstract

Case Report

Acute urinary retention and hyponatremia from central hypothyroidism

Samson Erkabu*, Zerihun Taddese, Biniam Bearega, Eyuel Daniel and Mekonen Birhanu

Published: 08 January, 2021 | Volume 5 - Issue 1 | Pages: 001-003

A mass arising from the pituitary gland commonly damages cells of the anterior pituitary gland and affects the secretion of gonadotropins and growth hormone. However, central hypothyroidism and secondary adrenal insufficiency from such damage is a rare phenomenon. Acute urinary retention as the main symptom of central hypothyroidism is also an unusual initial presentation. We report a male patient who comes with frequent urinary retention and hyponatremia at our hospital.

Read Full Article HTML DOI: 10.29328/journal.jnnd.1001042 Cite this Article Read Full Article PDF

Keywords:

Acute urinary retention; Hyponatremia; Central hypothyroidism; Pituitary macro adenoma

References

  1. Persani L. Clinical review: Central hypothyroidism: pathogenic, diagnostic, and therapeutic challenges. J Clin Endocrinol Metab. 2012; 97: 3068. PubMed: https://pubmed.ncbi.nlm.nih.gov/22851492/
  2. Samuels MH, Ridgway EC. Central hypothyroidism. Endocrinol Metab Clin North Am. 1992; 21: 903–919. PubMed: https://pubmed.ncbi.nlm.nih.gov/1486881/
  3. Justo D, Schwartz N, Dvorkin E, Gringauz I, Groutz A. asymptomatic urinary retention in elderly women upon admission to the Internal Medicine department: A prospective study. Neurourol Urodyn. 2017; 36: 794-797. PubMed: https://pubmed.ncbi.nlm.nih.gov/27176656/
  4. Nathan AW, Havard CW. Paralytic ileus and urinary retention due to hypothyroidism. Br Med J (Clin Res Ed). 1982; 285: 477. PubMed: https://pubmed.ncbi.nlm.nih.gov/6809133/
  5. Derubertis FR, Jr, Michelis MF, Bloom ME, Mintz DH, Field JB, et al. Impaired water excretion in myxedema. Am J Med. 1971; 51: 41–53. PubMed: https://pubmed.ncbi.nlm.nih.gov/5570319/
  6. Hanna FW, Scanlon MF. Hyponatraemia, hypothyroidism, and role of arginine-vasopressin. Lancet. 1997; 350: 755–756. PubMed: https://pubmed.ncbi.nlm.nih.gov/9297992/
  7. Hierholzer K, Finke R. Myxedema. Kidney Int Suppl. 1997; 59: S82–S89. PubMed: https://pubmed.ncbi.nlm.nih.gov/9185111/
  8. Abuzaid AS, Birch N. The controversies of hyponatraemia in hypothyroidism: weighing the evidence. Sultan Qaboos Univ Med J. 2015; 15: e207–e212. PubMed: https://pubmed.ncbi.nlm.nih.gov/26052453/
  9. Archambeaud-Mouveroux F, Dejax C, Jadaud JM, Vincent D, Laroumagne G, et al. [Myxedema coma with hypervasopressinism. 2 cases]. Annales de Médecine Interne. 1987; 138: 114–118. PubMed: https://pubmed.ncbi.nlm.nih.gov/3579092/

Figures:

Figure 1

Figure 1

Similar Articles

  • Acute urinary retention and hyponatremia from central hypothyroidism
    Samson Erkabu*, Zerihun Taddese, Biniam Bearega, Eyuel Daniel and Mekonen Birhanu Samson Erkabu*,Zerihun Taddese,Biniam Bearega,Eyuel Daniel,Mekonen Birhanu. Acute urinary retention and hyponatremia from central hypothyroidism. . 2021 doi: 10.29328/journal.jnnd.1001042; 5: 001-003

Recently Viewed

Read More

Most Viewed

Read More

Help ?