Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literature
Objectives: In this case study, we describe a 35-year-old woman with pulmonary hypertension that was secondary to thyrotoxicosis who presented with exertional dyspnea. In the approach to exertional dyspnea, detailed physical examination and laboratory findings helped to get the diagnosis. Methods: E...
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Format: | Article |
Language: | English |
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SAGE Publishing
2017-06-01
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Series: | SAGE Open Medical Case Reports |
Online Access: | https://doi.org/10.1177/2050313X17715584 |
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author | Farid Rashidi Hossein Sate Esmaeil Faraji Sepideh Tahsini Tekantapeh |
author_facet | Farid Rashidi Hossein Sate Esmaeil Faraji Sepideh Tahsini Tekantapeh |
author_sort | Farid Rashidi |
collection | DOAJ |
description | Objectives: In this case study, we describe a 35-year-old woman with pulmonary hypertension that was secondary to thyrotoxicosis who presented with exertional dyspnea. In the approach to exertional dyspnea, detailed physical examination and laboratory findings helped to get the diagnosis. Methods: Echocardiography showed right ventricular systolic pressure = 60 mmHg. A suppressed thyroid-stimulating hormone was seen in lab tests. The patient was treated with radioactive iodine. Results: Palpitations and shortness of breath improved, and both her thyroid-stimulating hormone and T4 levels decreased. Echocardiography and the pulmonary pressure were normal after treatment. Conclusions: Thyrotoxicosis is one of the etiologies of pulmonary hypertension, but the exact etiology and pathogenesis remain unknown. Some patients may have symptomatic pulmonary hypertension that can be resolved by hyperthyroidism treatment. |
first_indexed | 2024-12-10T18:12:13Z |
format | Article |
id | doaj.art-8cbb295f30d74ae2b7b29f999854e34d |
institution | Directory Open Access Journal |
issn | 2050-313X |
language | English |
last_indexed | 2024-12-10T18:12:13Z |
publishDate | 2017-06-01 |
publisher | SAGE Publishing |
record_format | Article |
series | SAGE Open Medical Case Reports |
spelling | doaj.art-8cbb295f30d74ae2b7b29f999854e34d2022-12-22T01:38:26ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2017-06-01510.1177/2050313X17715584Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literatureFarid Rashidi0Hossein Sate1Esmaeil Faraji2Sepideh Tahsini Tekantapeh3Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Cardiology, Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, IranEndocrine Research Center, Department of Internal Medicine, Tabriz University of Medical Sciences, Tabriz, IranImam Reza Hospital, Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, Tabriz University of Medical Sciences, Tabriz, IranObjectives: In this case study, we describe a 35-year-old woman with pulmonary hypertension that was secondary to thyrotoxicosis who presented with exertional dyspnea. In the approach to exertional dyspnea, detailed physical examination and laboratory findings helped to get the diagnosis. Methods: Echocardiography showed right ventricular systolic pressure = 60 mmHg. A suppressed thyroid-stimulating hormone was seen in lab tests. The patient was treated with radioactive iodine. Results: Palpitations and shortness of breath improved, and both her thyroid-stimulating hormone and T4 levels decreased. Echocardiography and the pulmonary pressure were normal after treatment. Conclusions: Thyrotoxicosis is one of the etiologies of pulmonary hypertension, but the exact etiology and pathogenesis remain unknown. Some patients may have symptomatic pulmonary hypertension that can be resolved by hyperthyroidism treatment.https://doi.org/10.1177/2050313X17715584 |
spellingShingle | Farid Rashidi Hossein Sate Esmaeil Faraji Sepideh Tahsini Tekantapeh Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literature SAGE Open Medical Case Reports |
title | Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literature |
title_full | Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literature |
title_fullStr | Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literature |
title_full_unstemmed | Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literature |
title_short | Thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension: Case report and review of literature |
title_sort | thyrotoxicosis presenting as exertional dyspnea and pulmonary hypertension case report and review of literature |
url | https://doi.org/10.1177/2050313X17715584 |
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