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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Main Authors: Farid Rashidi, Hossein Sate, Esmaeil Faraji, Sepideh Tahsini Tekantapeh
Format: Article
Language:English
Published: SAGE Publishing 2017-06-01
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.
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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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