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Massive pericardial effusion caused by hypothyroidism.
Willian Schmitt1, David Roque2, Ana Germano1
1Department of Radiology Hospital Prof. Doutor Fernando Fonseca Amadora Portugal.
Clinical Case Reports
|April 12, 2018
Summary
Hypothyroidism can cause pericardial effusion, sometimes severe enough to cause cardiac tamponade. Doctors should consider hypothyroidism in patients with unexplained pericardial effusion, even without typical symptoms.
Area of Science:
- Endocrinology
- Cardiology
Background:
- Pericardial effusion is common in hypothyroidism.
- Massive pericardial effusion or tamponade is rare but linked to severe hypothyroidism.
Purpose of the Study:
- To highlight the importance of considering hypothyroidism in unexplained pericardial effusion.
- To emphasize that severe presentations can occur even without obvious hypothyroid symptoms.
Main Methods:
- Literature review of hypothyroidism and pericardial effusion cases.
- Clinical case analysis (implied).
Main Results:
- Mild pericardial effusion is a usual finding in hypothyroidism.
- Massive pericardial effusion/tamponade is rare, associated with severe hypothyroidism.
Conclusions:
- Hypothyroidism is a crucial differential diagnosis for unexplained pericardial effusion.
- Diagnosis should be considered regardless of the presence of other hypothyroid signs and symptoms.
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