Hashimoto's pericarditis and thyroiditis. A case report
DOI:
https://doi.org/10.5281/zenodo.13695169Keywords:
pericarditis, constrictive pericarditis, thyroiditis, Hashimoto's disease, pericardial effusionAbstract
Pericarditis is an inflammation of the serous layer that covers the heart. It can be associated with various diseases, including Hashimoto's thyroiditis, an autoimmune disorder characterized by hypothyroidism. In this context, increased pericardial fluid and excessive thickening of the wall can evolve into constrictive pericarditis. The case is presented of a 43-year-old male patient with a history of high blood pressure, who went to the hospital with fever (38 °C), general malaise and osteomyoarticular pain. Dengue was initially suspected, but studies revealed acute pericarditis. After treatment, he was discharged. Eight months later he presented a similar clinical picture, being diagnosed again with acute pericarditis with elements suggestive of underlying disease. He was admitted to the Internal Medicine ward, where after exhaustive evaluations, constrictive pericarditis secondary to Hashimoto's thyroiditis was confirmed. The case highlighted the importance of differential diagnosis in recurrent pericarditis.
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Sagristá Sauleda J. Pericarditis aguda. Med Clin (Barc) [Internet]. 2004 [citado 21 Dic 2023]; 123(13):505-508. Disponible en: https://www.elsevier.es/es-revista-medicina-clinica-2-articulo-pericarditis-aguda-13067523?code=2XBWT7pus9JemhilbOKSD5cyY16MZ&newsletter=true
Sandoval Loría DF, Vásquez Jiménez MS, Murillo Saviano JA. Abordaje de pericarditis aguda y recurrente. Rev Méd Sinerg [Internet]. 2020. [citado 21 Dic 2023]; 5(8):e418. DOI: https://doi.org/10.31434/rms.v5i8.418
Chiabrando JG, Bonaventura A, Vecchié A, Wohlford GF, Mauro AG, Jordan JH, et al. Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review. J Am Coll Cardiol [Internet]. 2020 [citado 21 Dic 2023]; 75(1):76-92. DOI: https://doi.org/10.1016/j.jacc.2019.11.021
Navarro-Ulloa OD, Bello-Espinosa A, Borré-Naranjo D, Ramírez Barranco R, Sarmiento Agámez O, Arteta-Acosta C. Derrame pericárdico y taponamiento cardiaco. Rev Col Cardiol [Internet]. 2017 [citado 23 Dic 2023]; 24(6):622.el-622.e5. DOI: https://doi.org/10.1016/j.rccar.2017.04.009
Chahine J, Ala CK, Gentry JL, Pantalone KM, Klein AL. Pericardial Diseases in Patients With Hypothyroidism. Heart (British Cardiac Society) [Internet]. 2019 [citado 23 Dic 2023]; 105(13):1027-1033. DOI: https://doi.org/10.1136/heartjnl-2018-314528
Marijon E, Jani D, Aubert S, Ferreira B, Dreyfus G. Cardiac Tamponade in Hashimoto's Disease. Int J Cardiol [Internet]. 2006 [citado 21 Dic 2023]; 111(3):470-1. DOI: https://doi.org/10.1016/j.ijcard.2005.07.027
Bustamante Novella G. Pericarditis aguda y recurrente: una revisión. Rev Peruana Card [Internet]. 2021 [citado 23 Dic 2023]; XLVII(2):124-128 Disponible en https: https://sopecard.org/wp-content/uploads/2023/01/7.-Bustamante-1.pdf
Leonardi A, Penta L, Cofini M, Lanciotti L, Principi N, Esposito S. Pericardial Effusion as a Presenting Symptom of Hashimoto Thyroiditis: A Case Report. Int. J. Environ. Res. Public Health [Internet]. 2017 [citado 23 Dic 2023]; 14(12):E1576. DOI: https://doi.org/10.3390/ijerph14121576
Ralli M, Angeletti D, Fiore M, D'Aguanno V, Lambiase A, Artico M, de Vincentiis M, Greco A. Hashimoto's thyroiditis: An update on pathogenic mechanisms, diagnostic protocols, therapeutic strategies, and potential malignant transformation. Autoimmun Rev. [Internet]. 2020 Oct [citado 23 Dic 2023]; 19(10):102649. DOI: https://doi.org/10.1016/j.autrev.2020.102649
Robinson K, Menon S, Rungvivatjarus T. Symptomatic Pericardial Effusion Associated With Graves' Disease in a Pediatric Patient. Pediatrics [Internet]. 2024; 153(6):e2023064782. DOI: https://doi.org/10.1542/peds.2023-064782
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