“…So far, several potential mechanisms have been proposed to explain these abnormalities, but the exact mechanism is still controversial. Enhanced arginine vasopressin (AVP) release has been reported in hypothyroidism [2,3], but it was also found that AVP might not participate directly in the impaired water and electrolyte metabolism, but rather that renal dysfunction plays an essential Received: July 2, 1993 Accepted: October 27, 1993 Correspondence to: Dr. Kozo OTA, The Second Department of Internal Medicine, Tohoku University School of Medicine, 1-1 Seiryocho, Aobaku, Sendai 980, Japan *Present address : Yamagata Municipal Hospital Saiseikan, Yamagata, Japan role in the impairment in hypothyroidism [1, 4--6]. On the other hand, plasma atrial natriuretic peptide (ANP), eliciting natriuresis and diuresis, has been reported to decrease in hypothyroid patients [7,8], reminiscent of impaired handling of renal electrolytes.…”