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The Egyptian Journal of Internal Medicine
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Thyrotoxicosis associated with severe hypoalbuminemia and hyperbilirubinemia

The Egyptian Journal of Internal Medicine volume 29, pages 196–198 (2017)Cite this article

Abstract

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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Authors and Affiliations

  1. Department of Cardiology, Bingol State Hospital, 12000, Bingol, Turkey

    Mert Evlice (MD)

  2. Department of Internal Medicine, Bingol State Hospital, Bingol, Turkey

    Zekeriya Aksoz

Authors
  1. Mert Evlice
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  2. Zekeriya Aksoz
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Correspondence to Mert Evlice.

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Evlice, M., Aksoz, Z. Thyrotoxicosis associated with severe hypoalbuminemia and hyperbilirubinemia. Egypt J Intern Med 29, 196–198 (2017). https://doi.org/10.4103/ejim.ejim_7_17

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