TITLE:
A Case Report of Hypothyroidism and Pericardial Effusion
AUTHORS:
Cacelín Garza José Ramón, Cacelín Miranda Rafael Sebastián, Cacelín Miranda Ariadna Rosalba, Meléndez Ordoñez Jesús Alberto
KEYWORDS:
Hypothyroidism, Pericardial Effusion, Echocardiogram, Levothyroxin
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.9 No.12,
December
30,
2020
ABSTRACT: 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.