Ascites, pleural, and pericardial effusion in primary hypothyroidism: a rare case report

Santos, Pedro Gomes; Marques, Roberto Calças; Santos, Pedro Martins dos; Costa, Catarina Carreira da; Mogildea, Mihail

Publication

Ascites, pleural, and pericardial effusion in primary hypothyroidism: a rare case report

2023-12-13Journal article

dc.contributor.author	Santos, Pedro Gomes
dc.contributor.author	Marques, Roberto Calças
dc.contributor.author	Santos, Pedro Martins dos
dc.contributor.author	Costa, Catarina Carreira da
dc.contributor.author	Mogildea, Mihail
dc.date.accessioned	2024-12-30T13:33:58Z
dc.date.available	2024-12-30T13:33:58Z
dc.date.issued	2023-12-13
dc.description.abstract	Hypothyroidism is caused by a deficiency of thyroid hormones and is a common endocrine disorder worldwide. It can affect nearly every organ, resulting in multiple clinical manifestations. Ascites, pleural effusion, and pericardial effusion, although less frequent than peripheral edema, can also be present. These manifestations are thought to be caused by increased vascular permeability to albumin, extravasation of mucopolysaccharides, and inappropriate antidiuretic hormone secretion. Most effusions in hypothyroid patients resolve with thyroxine replacement therapy. However, due to the insidious and nonspecific nature of these symptoms, hypothyroidism is seldom considered a differential diagnosis. We report a case of a 48year-old male with pericardial effusion, pleural effusion, and ascites due to primary hypothyroidism. Although isolated effusions can be frequent in patients with hypothyroidism, the presentation of Hashimoto's thyroiditis as a combination of pericardial effusion, pleural effusion, and ascites is extremely rare. With this case report, we highlight the importance of considering hypothyroidism as a possible cause of unexplained polyserositis, even in the absence of other signs and symptoms.	eng
dc.identifier.doi	10.7759/cureus.50429
dc.identifier.issn	2168-8184
dc.identifier.uri	http://hdl.handle.net/10400.1/26556
dc.language.iso	eng
dc.peerreviewed	yes
dc.publisher	Springer Science and Business Media LLC
dc.relation.hasversion	https://www.cureus.com/articles/212377-ascites-pleural-and-pericardial-effusion-in-primary-hypothyroidism-a-rare-case-report#!/
dc.relation.ispartof	Cureus
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/
dc.subject	Ascites
dc.subject	Case report
dc.subject	Hypothyroidism
dc.subject	Pericardial effusion
dc.subject	Pleural effusion
dc.subject	Hashimoto’s thyroiditis
dc.title	Ascites, pleural, and pericardial effusion in primary hypothyroidism: a rare case report	eng
dc.type	journal article
dspace.entity.type	Publication
oaire.citation.endPage	8
oaire.citation.issue	12
oaire.citation.startPage	1
oaire.citation.title	Cureus: Journal of Medical Science
oaire.citation.volume	15
oaire.version	http://purl.org/coar/version/c_970fb48d4fbd8a85