GERHARD BAUMANN, M.D.; KONSTANTIN NEUHAUS, M.D.; HEINRICH THÖLEN, M.D.
BAUMANN G, NEUHAUS K, THÖLEN H. Goiter and Renal Failure. Ann Intern Med. 1974;81:706. doi: 10.7326/0003-4819-81-5-706_1
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Published: Ann Intern Med. 1974;81(5):706.
To the editor: In a recent paper Ramírez and collaborators (Ann Intern Med 79:500-504, 1973) report the frequent occurrence of goiter in patients undergoing hemodialysis treatment, but the cause of this finding remains unelucidated.
We have examined 77 patients consecutively admitted with preterminal and terminal renal failure, 52 of whom participated in the hemodialysis program.
Causes of renal disease included chronic pyelonephritis, obstructive uropathy, malignant hypertension, chronic glomerulonephritis, and diabetic glomerulosclerosis. The presence or absence and size and consistency of goiter was determined by careful palpation by two independent observers. Size was classified according to the World Health Organization classification
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Endocrine and Metabolism, Nephrology, Thyroid Disorders.
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