A Case Report of Hypothyroidism and Pericardial Effusion
A Case Report of Hypothyroidism and Pericardial Effusion作者机构：Servicio de Medicina Interna Hospital General de Nativitas Tlax Mexico Departamento de Medicina Interna Unidad de Cuidados Intensivos Hospital General de Zona No. 1 Instituto Mexicano del Seguro Social Tlax Mexico Facultad de Medicina Universidad Popular Autónoma del Estado de Puebla Puebla México Residente de la Especialidad de Anestesiología Hospital Juárez de México Ciudad de México México
出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)
年 卷 期：2020年第9卷第12期
页 面：408-420页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Hypothyroidism Pericardial Effusion Echocardiogram Levothyroxin
摘 要：The pericardial sac is made of two layers: the visceral and parietal pericardium. Located between these two layers, the pericardial cavity is found. It contains around 15 to 50 mL of a liquid secreted by mesothelial cells. Pericardial effusion is described as the accumulation of liquid within the pericardial cavity, exceeding the previous mentioned quantity. It has multiple causes, such as malignancy, infectious origins, inflammation, and others, such as hypothyroidism. One of the multiple clinical manifestations associated with hypothyroidism is pericardial effusion. It is related to the severity and duration of the disease, being more frequent in congenital hypothyroidism or cases of a long history of hypothyroidism, as well as clinical hypothyroidism. It can present a clinical challenge mainly due to the discordance between the total volume of the effusion and the clinical symptoms shown by the patient. The main objective of this work is to present a case of a forty-two-year-old male with hypothyroidism-associated pericardial effusion which resolved satisfactorily with hormone replacement therapy.
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