Diestel-Bautista TL, Chino-Flores J

Language: English
References: 10
Page: 38-41
PDF size: 227.24 Kb.

ABSTRACT

The association between pericardial effusion and cholesterol crystals in patients with hypothyroidism has rarely been observed; the first report dates from 1919, J.S. Alexander presented the case of a 32-year-old English man with hypothyroidism, pericardial effusion and heart failure; the drained pericardial fluid described it as «golden paint», the laboratory study showed large amounts of cholesterol crystals. We present the case of a 61-year-old hispanic man who presented cardiorespiratory arrest during the postoperative period of elective surgery. Cardiorespiratory arrest was attributed to cardiac tamponade due to massive pericardial effusion (PE). During the PE study, pericardiocentesis was performed obtaining 1,800 milliliters of liquid with the appearance of «golden paint». The microscopic study of the liquid obtained showed cholesterol crystals and the cytochemical study had exudate characteristics.

REFERENCES

1. Alexander J. A pericardial effusion of “gold-paint” appearance due to the presence of cholesterin. BMJ. 1919; 2 (3067): 463.

2. Davis P. Myxedemaw with cardiac tamponade and pericardial effusion of “gold paint” appearance. Archives of Internal Medicine. 1967; 120 (5): 615-619.

3. Chaker L, Bianco A, Jonklaas J, Peeters R. Hypothyroidism. The Lancet. 2017; 390 (10101): 1550-1562.

4. Imazio M, Gaita F, LeWinter M. Evaluation and treatment of pericarditis. JAMA. 2015; 314 (14): 1498-1506.

5. Fernandes F, Vieira G, Arteaga E et al. Cholesterol pericarditis. A specific but rare cause of pericardial disease. Arquivos Brasileiros de Cardiologia. 2001; 76 (5): 393-394.

6. Qian L, Pang J, Che X et al. Cholesterol pericarditis associated with rheumatoid arthritis. Medicine. 2016; 95 (44): e5305.

7. Adamson V, Slim J, Leclerc K, Slim A. A rare case of effusive constrictive cholesterol pericarditis: a case report and review. Case Reports in Medicine. 2013; (5): 1-2.

8. Jiménez-Elorza A, Montes-Orbe P, Vitoria-Vallejo Y et al. Pericarditis con cristales de colesterol. Revista Española de Cardiología. 2001; 54 (9): 1119-1120.

9. Rachid A, Caum L, Trentini A et al. Pericardial effusion with cardiac tamponade as a form of presentation of primary hypothyroidism. Arquivos Brasileiros de Cardiologia. 2002; 78 (6): 583-585.

10. Arun A. Pericardial effusion with cardiac tamponade as a form of presentation of primary hypothyroidism. J Assoc Phys India. 2016; 64 (12): 98-100.