Súhrn

Myxedém je podľa literárnych údajov príčinou ascitu menej ako v 1 % prípadov, samotná hypotyreóza sa manifestuje rozvojom ascitu menej ako v 4 % prípadov. Autori prezentujú kazuistiku pacienta s niekoľko rokov dokumentovanou cirhózou pečene, etiologicky dávanou do súvislosti s nadužívaním alkoholu; bola uňho v rámci diferenciálnej diagnostiky zistená závažná, dovtedy nepoznaná primárna hypotyreóza.

Kľúčové slová: primárna hypotyreóza – cirhóza – myxedém – ascites.

Ascites modified by hypothyreosis in patient with cryptogenic liver cirrhosis

Abstract

According to the literature ascites is caused by myxedema in less than 1% of cases; in hypothyroidism alone the ascites is presented in less than 4% of cases. The authors present the case report of the patient who has had a liver cirrhosis secondary to alcohol abuse for a several years. As a part of a differential diagnosis work-up the primary hypothyroidism was discovered which was unknown prior that.

Key words: primary hypothyroidism – cirrhosis – myxedema - ascites.

Beáta BODNÁROVÁ, Peter JARČUŠKA, Mária ZAKUCIOVÁ, Mária TAJTÁKOVÁ, Zuzana SEMANOVÁ, Peter MOŠČOVIČ, Peter BOHUŠ