Archives of the Turkish Society of Cardiology
First and only manifestation of Hashimoto’s disease: pericardial tamponade [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2012; 40(5): 454-457 | DOI: 10.5505/tkda.2012.42078

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

Yalçın Velibey1, Ali Nazmi Çalık1, Seçkin Satılmış1, Hülya Ilıksu2
1Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Clinic, Istanbul, Turkey
2Department of Endocrinology, Haydarpasa Training And Research Hospital, Istanbul, Turkey

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.

Keywords: Cardiac tamponade/etiology, electrocardiography, Hashimoto disease/complications/diagnosis, pericardial effusion

How to cite this article
Yalçın Velibey, Ali Nazmi Çalık, Seçkin Satılmış, Hülya Ilıksu. First and only manifestation of Hashimoto’s disease: pericardial tamponade. Turk Kardiyol Dern Ars. 2012; 40(5): 454-457

Corresponding Author: Yalçın Velibey, Türkiye
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