Abstract
Objectives Recently, several studies have reported the association between elevation of thyroid-stimulating hormone (TSH) levels and liver disease, especially, non-alcoholic fatty liver disease (NAFLD). We aimed to evaluate the incidence and risk factors of TSH elevation in patients with liver disease. Methods We retrospectively reviewed the data of patients aged <18 years who were diagnosed with liver disease between January 2015 and March 2019. Results Among the 77 patients, 17 (22.1%) had subclinical hypothyroidism and 3 (17.6%) progressed to overt hypothyroidism. A total of 26 (33.8%) patients had NAFLD, and 6 (23.1%) had subclinical hypothyroidism. The ultrasound grade of liver steatosis was not related to the elevation of TSH levels. The median age was significantly younger in patients with TSH elevation (5 vs. 9 years, p = 0.017). Albumin levels were significantly decreased (3.9 vs. 4.3g/dL, p = 0.007), and total bilirubin levels were elevated (2.2 vs. 0.6mg/dL, p = 0.001) in patients with subclinical hypothyroidism. Conclusions TSH elevation commonly occurs in patients with liver disease, especially those with younger age. The cause of liver disease was not a risk factor for TSH elevation.
Highlights
The thyroid gland is closely connected to the liver
Recently, several studies have reported the association between elevation of thyroid-stimulating hormone (TSH) levels and liver disease, especially, non‐alcoholic fatty liver disease (NAFLD)
We aimed to evaluate the incidence and risk factors of TSH elevation in patients with liver disease
Summary
The thyroid gland is closely connected to the liver. Thyroid hormones regulate the basal metabolic rate of hepatocytes, and dysthyroidism can cause altered bilirubin metabolism and hepatic circulation [1, 2].We retrospectively analyzed 77 patients aged
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More From: Journal of pediatric endocrinology & metabolism : JPEM
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