Isobe M, Takahashi W, Urushibata K, Sekiguchi M
First Department of Internal Medicine, Shinshu University School of Medicine, Japan.
Acta Cardiol. 1998;53(2):101-3.
Acquired hypothyroidism is known to cause cardiac tamponade. However, pericardial effusion in cretinism in adulthood has rarely been reported. A 27-year-old dwarfish woman suffering from congestive heart failure was diagnosed with congenital hypothyroidism due to the presence of a sublingual thyroid. The patient had never received thyroid therapy until the time of diagnosis at age 27. Despite the existence of massive pericardial effusion, the patient had hypertension. Her metabolic abnormality responded dramatically to L-thyroxin. Pericardial effusion disappeared one year after the initiation of medical treatment.
已知获得性甲状腺功能减退可导致心脏压塞。然而，成人呆小症中心包积液的报道很少。一名27岁患有充血性心力衰竭的侏儒女性因存在舌下甲状腺而被诊断为先天性甲状腺功能减退。该患者在27岁诊断之前从未接受过甲状腺治疗。尽管存在大量心包积液，但该患者患有高血压。她的代谢异常对左旋甲状腺素反应显著。开始药物治疗一年后心包积液消失。
