A Case Report of Hypothyroidism and Pericardial Effusion

• 作者: Cacelín Garza José Ramón Cacelín Miranda Ariadna Rosalba Cacelín Miranda Rafael Sebastián ez Jesús Alberto Meléndez Ordoñ
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: HYPOTHYROIDISM Pericardial Effusion ECHOCARDIOGRAM Levothyroxin
• 年，卷（期）: 2020,（12）
• 页码范围: 408-420
• 页数: 13页
• 分类号: R73

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.