Hypothyroidism as a Mimic of Liver Failure in a Patient with Cirrhosis
- Raed N. Khairy, MD; and
- Kevin D. Mullen, MD
- From University of Michigan Health System, Ann Arbor, Michigan, and Case Western Reserve University and MetroHealth Medical Center, Cleveland, Ohio.
Background: Hypothyroidism is an unusual cause of ascites. Hypothyroidism may also mimic hepatic encephalopathy in patients with cirrhosis. Reversible, hypothyroidism-induced ascites and encephalopathy simulating liver failure in a patient with cirrhosis awaiting liver transplantation has not been reported.
Objective: To describe the resolution of intractable ascites and encephalopathy with treatment of hypothyroidism in a patient with cirrhosis awaiting transplantation.
Case Report: A 40-year-old woman with cirrhosis secondary to chronic hepatitis C virus infection had intractable ascites and encephalopathy. She was listed for liver transplantation at another institution. She presented for a second opinion to determine whether additional evaluation and treatment might preclude the need for transplantation.
Her medical history included Hodgkin disease that was treated in the 1970s. Chronic hepatitis C virus infection was diagnosed in 1992 and was attributed to blood transfusion. Cirrhosis …
This 100-word excerpt has been provided in the absence of an abstract.
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