[Global respiratory failure as the presentation form of hypothyroidism. Report of one case].
We report a 36 years male, admitted to the hospital for progressive respiratory failure. Chest X ray and CT scan were normal. On admission, a severe bradycardia and slow intellectual activity were noted. Serum thyroid function tests showed a TSH over 150 microU/ml and T3 of 75 ng/ml. Thyroid substitution therapy was associated with a progressive improvement of respiratory function. Diaphragmatic dysfunction, central hypoventilation, airway obstruction, sleep apnea and pleural effusion have been previously reported in patients with hypothyroidism. Therefore, we recommend to measure TSH in patients with unexplained respiratory failure.
Novik
Victoria
V
Departamento de Endocrinología, Servicio de Medicina del Hospital Dr. Gustavo Fricke de Viña del Mar. chavez.novik@entelchile.net
Pérez
M Eugenia
ME
Anwandter
Gabriel
G
D000328:Adult; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D012131:Respiratory Insufficiency / Q000188:drug therapy / Q000209:etiology*; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000627:therapeutic use
D013972:Thyrotropin; D013974:Thyroxine
Insuficiencia respiratoria global como forma de presentación de un hipotiroidismo. Comunicación de un caso.