Viamonte TMN, Chang FA, Carmenaty CN, Pérez CA, Meriño HT

Language: Spanish
References: 5
Page: 1942-1947
PDF size: 324.22 Kb.

ABSTRACT

The case of an apparently healthy 40 year-old patient is reported, who was attended in "Dr. Joaquín Castillo Duany" Clinical Surgical Hospital of Santiago de Cuba to present with epigastric abdominal pain for several months, no irradiated and associated with discomfort in anterior chest, breathing di fficulty, swelling of the legs, weakness, drowsiness and joint pains, as well as slow gait, impaired memory, and other symptoms. The results of additional tests confirmed a pericardial effusion of hypothyroid cause. A replacement therapy was administered with thyroid hormones (sodium levothyroxine). He made good progress and was discharged from the hospital, but he was reevaluated at 3 months an d a significant improvement was observed

REFERENCES

1. Vicens Martí C, Jordi Guarinos O, Domínguez de Rozas JM. Derrame pericárdico masivo y taponamiento cardíaco como forma de presentación de hipotiroidismo. Rev Méd Chile. 2001 [citado 13 may 2012]; 129 (10). Disponible en: http://www.scielo.cl/scielo.php?pid=S0034- 98872001001000013&script=sci_arttext

2. Perel C, Echin M. Insuficiencia cardíaca y tiroides. Daño miocárdico en el hipotiroidismo. Insuf Card (ciudad autóno ma de Buenos Aires). 2006 [citado 13 may 2012]; 1(1) Disponible en: http://www.scielo.org.ar/scielo.ph p?script=sci_arttext&pid=S1852- 38622006000100008

3. Paoli-Valeri M. Hipotiroidismo subclíni co ¿factor de riesgo para enfermedad cardiovascular? Rev Venez Endocr inol Metab. 2003; 1 (2): 9-16.

4. Sanda S, New.eld RS. A child with pericardial effusion and cardiac tamponade due to previously unrecognized hypothyroidis m. J Natl Med Assoc. 2007; 12: 1411–3.

5. Rasmussen N, Vazquez AM, Tripp ME, Neal W. Pericardial effusion’s: a complication of hypothyroidism. Am J Dis Child. 1979; 133:329.