An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition

A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-...

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Main Authors: Woosun Kang, MD, MPH, Yu Zong, MD, Dhruvil Ashishkumar Patel, MD, Tushar Mishra, MD, Luis Afonso, MD
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084924000032
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author Woosun Kang, MD, MPH
Yu Zong, MD
Dhruvil Ashishkumar Patel, MD
Tushar Mishra, MD
Luis Afonso, MD
author_facet Woosun Kang, MD, MPH
Yu Zong, MD
Dhruvil Ashishkumar Patel, MD
Tushar Mishra, MD
Luis Afonso, MD
author_sort Woosun Kang, MD, MPH
collection DOAJ
description A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-up revealed scurvy, with a dramatic resolution of symptoms shortly after vitamin C supplementation.
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spelling doaj.art-dba387a4167d4781b1885de5e2d3c4262024-02-02T04:40:23ZengElsevierJACC: Case Reports2666-08492024-03-01295102222An Unusual Etiology of Severe Right Heart Failure Deserving of Wider RecognitionWoosun Kang, MD, MPH0Yu Zong, MD1Dhruvil Ashishkumar Patel, MD2Tushar Mishra, MD3Luis Afonso, MD4Department of Cardiology, Wayne State University, Detroit, Michigan, USADepartment of Internal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Internal Medicine-Pediatrics, University of Chicago, Chicago, Illinois, USADepartment of Cardiology, Wayne State University, Detroit, Michigan, USADepartment of Cardiology, Wayne State University, Detroit, Michigan, USA; Address for correspondence: Dr Luis Afonso, DMC Heart Hospital, 311 Mack Avenue, Detroit, Michigan 48201, USA.A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-up revealed scurvy, with a dramatic resolution of symptoms shortly after vitamin C supplementation.http://www.sciencedirect.com/science/article/pii/S2666084924000032pulmonary hypertensionright-sided heart failurescurvyvitamin C deficiency
spellingShingle Woosun Kang, MD, MPH
Yu Zong, MD
Dhruvil Ashishkumar Patel, MD
Tushar Mishra, MD
Luis Afonso, MD
An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition
JACC: Case Reports
pulmonary hypertension
right-sided heart failure
scurvy
vitamin C deficiency
title An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition
title_full An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition
title_fullStr An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition
title_full_unstemmed An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition
title_short An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition
title_sort unusual etiology of severe right heart failure deserving of wider recognition
topic pulmonary hypertension
right-sided heart failure
scurvy
vitamin C deficiency
url http://www.sciencedirect.com/science/article/pii/S2666084924000032
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