A Case Report of Hypothyroidism and Pericardial Effusion  

作　　者：Cacelín Garza José Ramón Cacelín Miranda Rafael Sebastián Cacelín Miranda Ariadna Rosalba Meléndez Ordoñ ez Jesús Alberto Cacelín Garza José Ramón;Cacelín Miranda Rafael Sebastián;Cacelín Miranda Ariadna Rosalba;Meléndez Ordoñez Jesús Alberto(Servicio de Medicina Interna, Hospital General de Nativitas, Tlax, Mexico;Departamento de Medicina Interna, Unidad de Cuidados Intensivos, Hospital General de Zona No. 1, Instituto Mexicano del Seguro Social, Tlax, Mexico;Facultad de Medicina, Universidad Popular Autónoma del Estado de Puebla, Puebla, México;Residente de la Especialidad de Anestesiología, Hospital Juárez de México, Ciudad de México, México)

机构地区：[1]Servicio de Medicina Interna, Hospital General de Nativitas, Tlax, Mexico [2]Departamento de Medicina Interna, Unidad de Cuidados Intensivos, Hospital General de Zona No. 1, Instituto Mexicano del Seguro Social, Tlax, Mexico [3]Facultad de Medicina, Universidad Popular Autónoma del Estado de Puebla, Puebla, México [4]Residente de la Especialidad de Anestesiología, Hospital Juárez de México, Ciudad de México, México

出　　处：《Case Reports in Clinical Medicine》2020年第12期408-420,共13页临床医学病理报告（英文）

摘　　要：The pericardial sac is made of two layers: the visceral and parietal pericardium. Located between these two layers, the pericardial cavity is found. It contains around 15 to 50 mL of a liquid secreted by mesothelial cells. Pericardial effusion is described as the accumulation of liquid within the pericardial cavity, exceeding the previous mentioned quantity. It has multiple causes, such as malignancy, infectious origins, inflammation, and others, such as hypothyroidism. One of the multiple clinical manifestations associated with hypothyroidism is pericardial effusion. It is related to the severity and duration of the disease, being more frequent in congenital hypothyroidism or cases of a long history of hypothyroidism, as well as clinical hypothyroidism. It can present a clinical challenge mainly due to the discordance between the total volume of the effusion and the clinical symptoms shown by the patient. The main objective of this work is to present a case of a forty-two-year-old male with hypothyroidism-associated pericardial effusion which resolved satisfactorily with hormone replacement therapy.The pericardial sac is made of two layers: the visceral and parietal pericardium. Located between these two layers, the pericardial cavity is found. It contains around 15 to 50 mL of a liquid secreted by mesothelial cells. Pericardial effusion is described as the accumulation of liquid within the pericardial cavity, exceeding the previous mentioned quantity. It has multiple causes, such as malignancy, infectious origins, inflammation, and others, such as hypothyroidism. One of the multiple clinical manifestations associated with hypothyroidism is pericardial effusion. It is related to the severity and duration of the disease, being more frequent in congenital hypothyroidism or cases of a long history of hypothyroidism, as well as clinical hypothyroidism. It can present a clinical challenge mainly due to the discordance between the total volume of the effusion and the clinical symptoms shown by the patient. The main objective of this work is to present a case of a forty-two-year-old male with hypothyroidism-associated pericardial effusion which resolved satisfactorily with hormone replacement therapy.

关 键 词：HYPOTHYROIDISM Pericardial Effusion ECHOCARDIOGRAM Levothyroxin 

分 类 号：R73[医药卫生—肿瘤]