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Year : 2019  |  Volume : 3  |  Issue : 3  |  Page : 97-99

Cardiac tamponade combined with pleural and peritoneal effusions, as the presenting manifestation of primary hypothyroidism

Department of General Internal Medicine, Hamad General Hospital, Doha, Qatar

Correspondence Address:
Dr. Muhammad Zahid
Hamad General Hospital, Doha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/LJMS.LJMS_15_19

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We present a rare case of cardiac tamponade as the initial presentation of primary hypothyroidism. A 38-year-old woman presented with shortness of breath and fatigue for 2 months. She had cardiomegaly on chest X-ray, and transthoracic echocardiogram showed evidence of cardiac tamponade. Urgent pericardiocentesis was performed; the pericardial fluid was exudative with negative cultures and cytology. She was also found to have pleural effusions and ascites. Laboratory tests revealed severe hypothyroidism, and thyroxine replacement therapy was started. The case highlights that the diagnosis of hypothyroidism should not be overlooked during the evaluation of patients with pericardial effusions.

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