Impending cardiac tamponade as a primary presentation of Hashimoto’s thyroiditis

Tirunagari, Deepthi; Murthi, Swetha; Sadat, Besher; Elango, Kalaimani

doi:10.1136/bcr-2018-227275

Cited by 1 publication

(2 citation statements)

References 3 publications

(4 reference statements)

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“…Different dosing regimens were observed in the different cases reported. [9][10][11][12][13][14][15][16][17][18] Average dose was between 50 mcg to 125 mcg daily and delivered through intravenous or oral route. Some started at a small dose with gradual up-titration, while others started with full doses.…”

Section: Statement Of Authorshipmentioning

confidence: 99%

“…In conjunction with levothyroxine therapy, most of the cases performed surgery for signs of cardiac tamponade (pericardiocentesis or pericardial window) while a few cases showed resolution with only medical management. [9][10][11][12][13][14][15][16][17][18] Our case was started with lower levothyroxine dose at 50 mcg considering the patient's age. The dose was gradually titrated up to 100 mcg daily which was well tolerated.…”

Section: Statement Of Authorshipmentioning

confidence: 99%

See 1 more Smart Citation

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

Israel¹,

Tan²,

Gomez³

et al. 2022

JAFES

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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.

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