Case report of hypothyroidism presenting with myxedema ascites
Marc Atzenhoefer, MD, Jeanette H. Man, BS, Ehab R. Saad, MD, FACP, FASN
Journal of Clinical and Translational Endocrinology Case Reports · 2017
doi:10.1016/j.jecr.2017.03.001 (opens in a new tab)
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Abstract
Primary hypothyroidism rarely presents with ascites. This clinical finding in a patient with history suggestive of hypothyroidism should prompt thyroid testing. Diagnostic workup should include a paracentesis and determination of the SAAG. Review of the literature revealed sixty three well documented cases of myxedema ascites. A majority of these had SAAGs of >1.1g/dL and total proteins of >2.5 g/dL. Myxedema as a cause of ascites should be considered and ruled in by exclusion. Treatment with thyroid replacement remains an effective solution with an excellent prognosis.
Abstract licence: CC BY-NC
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