Journal of Thyroid Disorders & Therapy
Open Access
ISSN: 2167-7948
+44 1300 500008
ISSN: 2167-7948
+44 1300 500008
Viktorija Chalovska
Macedonia
Dr. Viktorija Chalovska is a dedicated gastroenterologist and hepatologist at the University Clinic of Gastroenterology and Hepatology in Skopje, Macedonia. She completed her medical degree and specialized training in gastroenterology, with a particular focus on liver diseases, digestive disorders, and their treatment. Dr. Chalovska's clinical expertise covers a wide range of gastrointestinal and liver diseases, including chronic conditions such as cirrhosis, hepatitis, inflammatory bowel diseases, and gastrointestinal cancers. She is committed to providing comprehensive care, utilizing advanced diagnostic methods like endoscopy, liver biopsy, and imaging techniques to evaluate and treat patients effectively. In addition to her clinical work, Dr. Chalovska is actively involved in academic research. She collaborates with multidisciplinary teams to investigate new treatment options, and her research often focuses on improving outcomes for patients with complex gastrointestinal and liver diseases. Her work contributes to advancing the understanding of these conditions, and she is also dedicated to educating medical students and residents. Through her clinical and research contributions, Dr. Chalovska plays an essential role in the development of gastroenterology and hepatology in Macedonia, working to enhance patient care and promote medical advancements in these critical fields.
Case Report
Thyrotoxicosis Associated with Cholestatic Jaundice Treated with Therapeutic Plasma Exchange-Case Report
Author(s): Irfan Ahmeti, Viktorija Chalovska, Nevena Manevska, Pavlina Dzekova-Vidimliski, Vladimir Avramoski and Daniela Pop GjorcevaIrfan Ahmeti, Viktorija Chalovska, Nevena Manevska, Pavlina Dzekova-Vidimliski, Vladimir Avramoski and Daniela Pop Gjorceva
Thyroid disorders, especially thyrotoxicosis, are commonly associated with hepatic dysfunction, but cholestasis is rarely reported. Heart failure, infection, weight loss may play role in the pathogenesis of cholestasis. Cholestasis could be worsened by treatment of hyperthyroidism using Thiamazole, but cholestasis in undiagnosed thyrotoxicosis is uncommon. We present 23 year old female with jaundice, goiter, palpitation and confirmed thyrotoxicosis associated with hepatomegaly, hepatocelluar damage and cholestasis. Liver biopsy excluded the suspicion of autoimmune hepatitis. Therapeutic plasma exchange was performed 5 days after starting the treatment with thyroid supressive therapy, and hepatoprotective therapy due to progressive increase of serum levels of bilirubin (conjugated/direct) and liver enzymes. The patient treatment continued with low doses of thyroid suppressive the.. View More»
DOI:
10.4172/2167-7948.1000211