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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Bibliographic Details
Published in:SAGE open medical case reports 2017-01, Vol.5, p.2050313X17715584
Main Authors: Rashidi, Farid, Sate, Hossein, Faraji, Esmaeil, Tahsini Tekantapeh, Sepideh
Format: Article
Language:English
Subjects:
Case Report
Case reports
Dyspnea
Pulmonary hypertension
Thyroid gland
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Summary: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.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X17715584