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Case Report
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| Myxoedema: A rare cause of massive ascites | ||||||
| Rabab Fouad1, Mohamed B. Hashem1, Mohamed Said1, Marwa Khairy1, Mahmoud Abouelkhair1, A. A. Helmy1 | ||||||
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1Endemic Medicine and Hepatogastroenterology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
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| How to cite this article |
| Fouad R, Hashem MB, Said M, Khairy M, Abouelkhair M, Helmy AA. Myxoedema: A rare cause of massive ascites. Int J Case Rep Images 2017;8(1):66–69. |
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Abstract
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Myxoedema ascites is a rare condition with a known incidence of 4% which makes it in the bottom of the list of causes of ascites, that is why diagnosis is often delayed and physicians usually do not put it in the preliminary differential diagnosis of a case of ascites. We here report a case of Ascites due to hypothyroidism which markedly improved after thyroxin therapy. To our knowledge, this makes it the first case reported in Egypt with myxoedema ascites. Myxoedema ascites is characterized by the dramatic response to replacement therapy. The message to be taken is that myxoedema is a rare cause of massive ascites but should be evaluated if suspected since the condition is easily controlled by medical treatment.
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Keywords:
Massive ascites, Myxoedema, Serum ascites albumin gradient (SAAG)
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Author Contributions
Rabab Fouad – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mohamed B. Hashem – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mohamed Said – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Marwa Khairy – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mahmoud Abouelkhair – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published A. A. Helmy – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Rabab Fouad et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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