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Severe Pericardial Effusion Due to Autoimmune Hypothyroidism With Levothyroxine Withdrawal and Systemic Lupus Erythematosus

Year: 2022

Type: article

Abstract: The presence of autoantibodies is a common link between autoimmune hypothyroidism (AH) and Systemic Lupus Erythematosus (SLE). The coexistence of AH (Hashimoto's Thyroiditis) and SLE is common; however, massive pericardial effusion (PEEF) with signs of tamponade is extremely rare and only a few cases have been reported in literature. We present a case of a 54-year-old female who came in with progressive dyspnea who was found out to have massive PEEF from overt AH and concurrent SLE, which was successfully managed medically. This gave us valuable insight that massive pericardial effusion occurring in overt hypothyroidism may be secondarily caused by other co-existing disease entities such as SLE. The importance of the correct diagnosis cannot be overemphasized, as this largely contributed to the successful management of this case.

Source: Journal of the ASEAN Federation of Endocrine Societies

DOI: 10.15605/jafes.037.02.13

Authors: Sylvernon Israel, Katherine Ann Tan, Ma. Felisse Carmen Gomez, Florence Rochelle Gan, Jean Uy-Ho

Institution: University of Santo Tomas Hospital

Language: English

Topic: Pericarditis and Cardiac Tamponade

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4310045019

FWCI:

Cites: 20

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Related to: 10