SERGIO DE MARCHI, M.D.; EMANUELA CECCHIN, M.D.; MAURIZIO BOREAN, B.D.
To the editor: We read with interest the recent report by the UCLA conference on thyroid function in nonthyroidal illness (1). Thyroid status in patients with chronic renal failure has been extensively investigated, but the long-term effect of dialysis therapy is not well understood. Early studies reported that thyroid hormone concentrations are below the normal range in about one third of uremic patients, triiodothyronine (T3) being especially lowered (2). The low T3 level has been considered to be a result of a decrease of peripheral tissue conversion of thyroxine (T4) to T3, which could be due either to a shift
DE MARCHI S, CECCHIN E, BOREAN M. The Thyroid and Glucose Intolerance in Uremia. Ann Intern Med. ;99:883–884. doi: 10.7326/0003-4819-99-6-883_2
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Published: Ann Intern Med. 1983;99(6):883-884.
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