Pericardial Effusion as an Initial Presentation of Panhypopituitarism

Alves, Rosa and Alegria, Sofia and Vara Luiz, Henrique and Judas, Tiago (2020) Pericardial Effusion as an Initial Presentation of Panhypopituitarism. European Journal of Case Reports in Internal Medicine, 7 (3). ISSN 2284-2594

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Pericardial effusion has a broad spectrum of clinical presentation, ranging from an incidental finding on imaging to a potentially fatal emergency such as pericardial tamponade, the most severe presentation. The authors present a case of a middle-aged male hospitalized due to shortness of breath. Initial work-up was positive for massive pericardial effusion with haemodynamic compromise. Additional study revealed panhypopituitarism. The acromegalic phenotype was suggestive of acromegaly secondary to pituitary adenoma, which had probably evolved to apoplexy. Hormone replacement was started with clinical improvement. At the 3-year follow-up, there was no evidence of recurrence of pericardial effusion. Panhypopituitarism is a relatively rare entity, but can lead to life-threatening complications such as adrenal crisis, coma and myxoedema-associated cardiac failure. Pericardial effusion is an extremely rare manifestation of secondary hypothyroidism.

Item Type: Article
Uncontrolled Keywords: Pericardial effusion, pericardiocentesis, panhypopituitarism
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 19 Nov 2020 10:14
Last Modified: 19 Nov 2020 10:14

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