title: Massive macroglossia as a presenting feature of hypothyroid-associated pericardial effusion.
abstract: An 81-year-old woman presented with massive macroglossia and signs of both hypothyroidism and pericardial tamponade. Drainage of the pericardial effusion produced dramatic resolution of the macroglossia. Marked elevation of central venous pressure may result in macroglossia, possibly because of anomalous venous drainage of the tongue.
authors.affiliation: Department of Pulmonary and Critical Care Medicine, Manly Hospital, NSW, Australia.
authors.forename: N
authors.initials: N
authors.lastname: Meares
authors.forename: S
authors.initials: S
authors.lastname: Braude
authors.forename: K
authors.initials: K
authors.lastname: Burgess
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000175:diagnosis; D008260:Macroglossia / Q000175:diagnosis / Q000209:etiology*; D010490:Pericardial Effusion / Q000150:complications* / Q000175:diagnosis