Key result
Pericardiocentesis and thyroid hormone improve hemodynamics in Hashimoto's pericardial effusion despite late recurrence.
Why the study?
Refractory pericardial effusion is a rare complication in treated hypothyroid patients with Hashimoto's thyroiditis, and underlying cardiomyopathy requires characterization.
Case Report (n=1)
No
Highlights a rare case of refractory pericardial effusion and underlying cardiomyopathy in a treated hypothyroid patient with Hashimoto's thyroiditis.
May warrant thyroid evaluation in unexplained effusions; leaves open durability of response and recurrence prevention in Hashimoto's.
An unusual case of a hypothyroid patient with huge pericardial effusion due to Hashimoto's thyroiditis is reported. Cardiac tamponade occurred during admission. Eight hundred milliliters of pericardial effusion was withdrawn by pericardiocentesis. Even after successful replacement of thyroid hormone, she had recurrent effusion two years later. Refractory pericardial effusion is a rare complication in treated hypothyroid patients. Underlying cardiomyopathy was presented with hemodynamic and histological examinations.
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Yamada et al. (1995) conducted a case report in Massive pericardial effusion and cardiac tamponade due to Hashimoto's thyroiditis (n=1). Pericardiocentesis and L-triiodothyronine was evaluated on Hemodynamic improvement and resolution of effusion. Pericardiocentesis and thyroid hormone replacement improved hemodynamics in a patient with massive pericardial effusion due to Hashimoto's thyroiditis, though recurrent effusion occurred two years later.
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