PREVALENCE OF THYROID DYSFUNCTION IN CHRONIC LIVER DISEASE

Abstract

Introduction: Chronic Liver Disease affects most of the organs in the human body. Various studies have been done regarding chronic liver disease, but not many studies are done on the assessment of thyroid function in chronic liver disease. Present study thus aimed at assessing the thyroid functions in chronic liver disease patients. Materials & Methods: A hospital based cross-sectional study was conducted at a tertiary care hospital Study included 52 patients presenting with Chronic liver disease fullling the study criteria using purposive conservative sampling. Detailed examination was done for all cases including thyroid function tests. All analysis was carried out by using SPSS software version 21. Overall prevalence of thyroid dysfunction among chronic liver disease patients was 36.5%. A Results: signicant positive correlation was observed between severity of chronic liver disease and TSH levels (r-0.60) while an inverse correlation was observed with T3 and T4 levels (p<0.01). A signicant association was observed between presence of thyroid dysfunction among chronic liver disease patients who had hepatic encephalopathy (66.7% vs 32.6%; p<0.05). Also, a signicant association was observed with severity of chronic liver disease. Present study observed Conclusion: that derangement in thyroid prole is common in patients with cirrhosis of liver. A statistically signicant change was observed in serum T3 and T4 levels that tend to fall with progressive severity of chronic liver disease irrespective of aetiology. Thus all cirrhotic patients should undergo thyroid function evaluation as these patients are denitely associated with development of thyroid dysfunction.