Very often patients with chronic kidney disease (CKD) on dialysis undergo neck ultrasonography to study parathyroid glands. Although diagnosis and treatment of secondary hyperparathyroidism (sHPT) is based on the serum levels of both the intact parathyroid hormone (iPTH) and the parameters of mineral metabolism (calcium, phosphorus), parathyroid ultrasound provides an important diagnostic tool in diagnosis, clinical follow-up, and therapeutic response of sHPT. Nevertheless there are limited data regarding the ultrasonographic evaluation of the thyroid gland, with only a few reports investigating thyroid nodules in hemodyalized patients.
In the present paper we describe the case of a 37-year old male hemodyalized patient in whom ultrasound examination of the neck revealed a solitary thyroid nodule, which turned out to be different from what was initially expected.
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