Abughazaleh Shaadi, Safdar Zeenat
Department of Pulmonary-Critical Care Medicine, Houston Methodist Hospital, Weill Cornell College of Medicine, Houston, TX, USA.
Case Rep Pulmonol. 2020 Jan 23;2020:1617253. doi: 10.1155/2020/1617253. eCollection 2020.
A 35-year-old female with pulmonary arterial hypertension (PAH) who presented with complaints of progressively worsening dysphagia, facial swelling, and shortness of breath, was found to have a large goiter. In patients treated with epoprostenol for long periods of time, thyroid disease is common. Most cases of thyroid disease describe thyrotoxicosis and hyperthyroid statues, but our case was a patient on long term IV epoprostenol presenting with a superior vena cava-syndrome (SVC) like appearance and airway compromise found to have a goiter incidentally during workup.
一名35岁患有肺动脉高压（PAH）的女性，出现进行性加重的吞咽困难、面部肿胀和呼吸急促等症状，被发现患有巨大甲状腺肿。长期使用依前列醇治疗的患者中，甲状腺疾病很常见。大多数甲状腺疾病病例描述的是甲状腺毒症和甲状腺功能亢进状态，但我们的病例是一名长期接受静脉注射依前列醇治疗的患者，其表现类似上腔静脉综合征（SVC），在检查过程中偶然发现患有甲状腺肿且气道受压。
