[Hyperthyroidism, jaundice, and pulmonary hypertension].
Although the most frequent cause associated to the alteration of hepatic function tests that some hyperthyroid patients show is concomitant heart insufficiency, some cases without heart insufficiency and normalisation of hepatic tests after normalising the thyroid function have been described. There is also some evidence of hyperthyroid patients with pulmonary arterial hypertension, with no clear cause, coming back later to normal figures or substantially descending, after the treatment for hyperthyroidism. We show the concrete case of a 66 years woman, who has a due to toxic multinodular goiter hyperthyroidism with jaundice and serious pulmonary hypertension associated, unexplainable by further causes, both regressing with normalisation of thyroid function with no evidence of associated autoimmune pathology. Following, the physiopathology explanations about this unusual association found in literature, are commented.
Mozo Herrera
G
G
Servicio de Medicina Interna, Hospital Universitario, Valladolid.
Fernández González
M J
MJ
Salgado Blanco
J
J
Jimeno Carrúez
A
A
D000368:Aged; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D006980:Hyperthyroidism / Q000150:complications* / Q000188:drug therapy; D007565:Jaundice / Q000209:etiology*