Dhingra R, Rai P, Sieker J, Roper J. Myxedema Ascites: An Unusual Presentation of Uncontrolled Hypothyroidism.
Cureus 2018;
10:e2627. [PMID:
30027019 PMCID:
PMC6044604 DOI:
10.7759/cureus.2627]
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Abstract
We describe a case of myxedema ascites in a 64-year-old male with a history of hypothyroidism noncompliant with medical therapy who presented with syncope, hematemesis, melena, and abdominal distension. The patient received intravenous levothyroxine with a good response and improved upon discharge. This case highlights the importance of considering hypothyroidism as an etiology of unexplained ascites. The analysis of ascites from myxedema may not always have a significantly elevated protein (>2.5g/dL). Appropriate diagnosis should also rely on the clinical presentation along with a rapid and positive response to thyroid hormone replacement therapy.
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