000			01847nam a22003257a 4500
008			180220s20182018 xxu||||| |||| 00| 0 eng d
022			_a1757-790X
024			_a10.1136/bcr-2017-222373 [doi]
024			_abcr-2017-222373 [pii]
040			_aOvid MEDLINE(R)
099			_a29367365
245			_aCase of acute mixed liver injury due to hypothyroidism.
251			_aBMJ Case Reports. 2018, 2018 Jan 23
252			_aBMJ Case Rep. 2018, 2018 Jan 23
253			_aBMJ case reports
260			_c2018
260			_fFY2018
266			_d2018-02-20
520			_aCopyright (c) BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
520			_aThe effects of hypothyroidism on the liver are not well understood. A 77-year-old woman with Hashimoto's thyroiditis had stopped taking levothyroxine on her own for 6months. Her thyroid stimulating hormone (TSH) level was consistent with severe hypothyroidism. She resumed thyroid replacement therapy. The following month, her liver function tests were significantly elevated. Seven weeks after resumption of therapy, her TSH and liver tests had returned to normal. We attribute the mixed hepatocellular injury to hypothyroidism that resolved on correction of the hypothyroid state. This case reminds us that thyroid disease should be considered when evaluating acute liver injury.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aMedicine/Internal Medicine
657			_aJournal Article
700			_aDuong, Nikki
790			_aDuong N, Lee A, Lewis J
856			_uhttps://dx.doi.org/10.1136/bcr-2017-222373 _zhttps://dx.doi.org/10.1136/bcr-2017-222373
942			_cART _dArticle
999			_c3112 _d3112