SciELO - Scientific Electronic Library Online

vol.56 issue6Changes in bone metabolism markers in women after Roux-en-Y gastric bypassAcute suppurative thyroiditis with multiple complications author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Arquivos Brasileiros de Endocrinologia & Metabologia

On-line version ISSN 1677-9487


THIRONE, Ana Cláudia Pelegrinelli; DANIELI, Rafael Vinícius  and  RIBEIRO, Vanessa Marajó Fernandes Corrêa. Massive pericardial effusion as initial manifestation of hypothyroidism. Arq Bras Endocrinol Metab [online]. 2012, vol.56, n.6, pp.383-387. ISSN 1677-9487.

The aim of this study is to report a rare case of massive pericardial effusion as initial manifestation of hypothyroidism. A previously healthy 21-year-old female patient suddenly began presenting dyspnea at rest and lower limb edema. Routine laboratory tests performed at admission showed hypothyroidism (TSH 146.14 mUI/L) and echocardiography showed significant pericardial effusion. Therapy was instituted with levothyroxine, resulting in clinical improvement without pericardiocentesis. The patient was followed up for 1 year, with total remission of dyspnea and edema. However, she developed typical symptoms of hypothyroidism, and remained with asthenia, dyslipidemia, weight gain, and mild pericardial effusion at the end of one year, even with the optimization of the levothyroxine dose. This case highlights the need for early investigation of hypothyroidism in patients with pericardial effusion.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License