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Journals / Türk Kardiyoloji Derneği Arşivi / 2012 / Cilt: 40 - Sayı: 5

Hashimoto hastalığının ilk ve tek bulgusu: Perikart tamponadı

First and only manifestation of Hashimoto’s disease: pericardial tamponade

Hülya ILIKSU
Ali Nazmi ÇALIK
Yalçın YEŞİLBEY
Seçkin SATILMIŞ
Pages
454–457
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We report a case of pericardial tamponade as the first and only manifestation of Hashimoto’s disease.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pericardial effusion in hypothyroidism is a common finding, but an effusion which causes cardiac tamponade is a rarity.
📊
Key Findings & Data:A 39-year-old man without previous medical history presented with progressive shortness of breath.
💡
Conclusion & Impact:We report a case of pericardial tamponade as the first and only manifestation of Hashimoto’s disease.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pericardial effusion in hypothyroidism is a common finding, but an effusion which causes cardiac tamponade is a rarity. A 39-year-old man without previous medical history presented with progressive shortness of breath. Transthoracic echocardiography revealed massive pericardial effusion with tamponade findings. Thyroid function analysis showed raised thyroid-stimulating hormone associated with a severe decrease of free thyroxine and triiodothyronine. Antithyroglobulin and antithyroperoxidase antibodies were significantly high. The echocardiography-guided pericardiocentesis was followed by thyroid replacement therapy with the diagnosis of Hashimoto’s disease. We report a case of pericardial tamponade as the first and only manifestation of Hashimoto’s disease.

Özet

Perikart efüzyonu hipotiroidizmde sık görülmesine rağmen nadiren kalp tamponadına neden olmaktadır. Daha önceden sağlıklı olan 39 yaşındaki erkek hasta ilerleyici nefes darlığı yakınması ile başvurdu. Transtorasik ekokardiyografide tamponada neden olan masif perikart efüzyonu saptandı. Tiroit fonksiyon testlerinden tiroit stimüle edici hormonun düşük, serbest tiroksin ve triiyodotironin yüksek olduğu saptandı. Antitiroglobulin ve antiperoksidaz antikorları anlamlı derecede yüksekti. Ekokardiyografi kılavuzluğunda apikal yaklaşımla perikardiyosentez işlemi uygulanan hastaya Haşimato hastalığı tanısı konularak tiroit replasman tedavisine başlandı. Bu yazıda, Hashimoto hastalığında ilk ve tek bulgu veren perikart tamponatlı olgu sunuldu.

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Cite This Article

ILIKSU, H., ÇALIK, A. N., YEŞİLBEY, Y., SATILMIŞ, S. (2022). Hashimoto hastalığının ilk ve tek bulgusu: Perikart tamponadı. Türk Kardiyoloji Derneği Arşivi, Cilt: 40 - Sayı: 5, 454–457. https://ajindex.com/articles/633079

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