Respiratory dysfunction in hypothyroidism

Hypothyroidism is one of the most common endocrine disorders in adults. While it affects almost all systems of the body, little attention has been paid to the involvement of the respiratory system and its function in hypothyroidism. The present review summarises the available literature on respirato...

Full description

Bibliographic Details
Main Authors: Palaparthi Sai Krishna Chaitanya, V Suresh, Alladi Mohan, Alok Sachan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Clinical and Scientific Research
Subjects:
Online Access:http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2019;volume=8;issue=2;spage=89;epage=94;aulast=Krishna
_version_ 1811217865929392128
author Palaparthi Sai Krishna Chaitanya
V Suresh
Alladi Mohan
Alok Sachan
author_facet Palaparthi Sai Krishna Chaitanya
V Suresh
Alladi Mohan
Alok Sachan
author_sort Palaparthi Sai Krishna Chaitanya
collection DOAJ
description Hypothyroidism is one of the most common endocrine disorders in adults. While it affects almost all systems of the body, little attention has been paid to the involvement of the respiratory system and its function in hypothyroidism. The present review summarises the available literature on respiratory function in patients with hypothyroidism. Hypothyroidism has myriad effects on respiratory function. It is known to cause upper airway obstruction during sleep causing sleep disordered breathing (obstructive sleep apnoea). It affects the respiratory drive causing reduced responsiveness to hypoxia or hypercapnia, potentially causing life-threatening hypoventilation on rare occasions. Pleural effusions solely attributable to hypothyroidism are a relatively uncommon occurrence. Deficiency of thyroid hormones reduces the strength of the respiratory muscles. A reduction in diffusion lung capacity for carbon monoxide points to lung parenchymal involvement as well. These two changes lead to a predominantly restrictive pulmonary physiology on spirometry. Studies show that the restrictive pattern improves after thyroxin replacement. Since pulmonary involvement is a relatively underevaluated aspect of hypothyroidism, more studies in this area are the need of the hour, to fill the current lacunae in our knowledge and understanding.
first_indexed 2024-04-12T07:01:35Z
format Article
id doaj.art-24da1e31a9814a9b85abe91ea0cfa6a0
institution Directory Open Access Journal
issn 2277-5706
2277-8357
language English
last_indexed 2024-04-12T07:01:35Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Clinical and Scientific Research
spelling doaj.art-24da1e31a9814a9b85abe91ea0cfa6a02022-12-22T03:43:00ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572019-01-0182899410.4103/JCSR.JCSR_54_19Respiratory dysfunction in hypothyroidismPalaparthi Sai Krishna ChaitanyaV SureshAlladi MohanAlok SachanHypothyroidism is one of the most common endocrine disorders in adults. While it affects almost all systems of the body, little attention has been paid to the involvement of the respiratory system and its function in hypothyroidism. The present review summarises the available literature on respiratory function in patients with hypothyroidism. Hypothyroidism has myriad effects on respiratory function. It is known to cause upper airway obstruction during sleep causing sleep disordered breathing (obstructive sleep apnoea). It affects the respiratory drive causing reduced responsiveness to hypoxia or hypercapnia, potentially causing life-threatening hypoventilation on rare occasions. Pleural effusions solely attributable to hypothyroidism are a relatively uncommon occurrence. Deficiency of thyroid hormones reduces the strength of the respiratory muscles. A reduction in diffusion lung capacity for carbon monoxide points to lung parenchymal involvement as well. These two changes lead to a predominantly restrictive pulmonary physiology on spirometry. Studies show that the restrictive pattern improves after thyroxin replacement. Since pulmonary involvement is a relatively underevaluated aspect of hypothyroidism, more studies in this area are the need of the hour, to fill the current lacunae in our knowledge and understanding.http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2019;volume=8;issue=2;spage=89;epage=94;aulast=Krishnahypothyroidismobstructive sleep apnoearespiratory muscle weaknessrestrictive lung disease
spellingShingle Palaparthi Sai Krishna Chaitanya
V Suresh
Alladi Mohan
Alok Sachan
Respiratory dysfunction in hypothyroidism
Journal of Clinical and Scientific Research
hypothyroidism
obstructive sleep apnoea
respiratory muscle weakness
restrictive lung disease
title Respiratory dysfunction in hypothyroidism
title_full Respiratory dysfunction in hypothyroidism
title_fullStr Respiratory dysfunction in hypothyroidism
title_full_unstemmed Respiratory dysfunction in hypothyroidism
title_short Respiratory dysfunction in hypothyroidism
title_sort respiratory dysfunction in hypothyroidism
topic hypothyroidism
obstructive sleep apnoea
respiratory muscle weakness
restrictive lung disease
url http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2019;volume=8;issue=2;spage=89;epage=94;aulast=Krishna
work_keys_str_mv AT palaparthisaikrishnachaitanya respiratorydysfunctioninhypothyroidism
AT vsuresh respiratorydysfunctioninhypothyroidism
AT alladimohan respiratorydysfunctioninhypothyroidism
AT aloksachan respiratorydysfunctioninhypothyroidism