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Year : 2017  |  Volume : 29  |  Issue : 4  |  Page : 196-198

Thyrotoxicosis associated with severe hypoalbuminemia and hyperbilirubinemia

1 Department of Cardiology, Bingol State Hospital, Bingol, Turkey
2 Department of Internal Medicine, Bingol State Hospital, Bingol, Turkey

Correspondence Address:
Mert Evlice
Department of Cardiology, Bingol State Hospital, 12000 Bingol
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejim.ejim_7_17

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Thyrotoxicosis is a known cause of nonspecific abnormalities in liver function tests: most commonly mild elevations in serum bilirubin and liver enzymes, and rarely decreases in serum albumin levels. We report a case of severe hyperbilirubinemia and hypoalbuminemia secondary to thyrotoxicosis in a 64-year-old woman who presented to our emergency department with complaints of jaundice, pruritis, and chronic diarrhea. In our case, the symptoms and signs of various abnormalities in liver function tests such as serum albumin and bilirubin normalized after euthyroid state. We think that these findings are related to thyroid dysfunction. Every hyperbilirubinemia and hypoalbuminemia, which can be seen in many serious diseases, may unexpectedly appear in the long-term progression of thyrotoxicosis. Whether thyrotoxicosis is present in patients with hyperbilirubinemia and hypoalbuminemia should be evaluated.

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