title: Recurrent pericardial effusion with a common clinical disorder.
abstract: We present a case of recurrent pericardial effusion in a patient with Down's syndrome in whom the underlying cause was not considered because of unfamiliarity with the care of people with Down's syndrome. The diagnosis hypothyroidism only became apparent by means of a routine panel of biochemical tests.
authors.affiliation: Department of Internal Medicine, Sint Anna Hospital, Geldrop, the Netherlands. a.toorians@st-anna.nl
authors.forename: A W F T
authors.initials: AW
authors.lastname: Toorians
authors.forename: W A A J
authors.initials: WA
authors.lastname: van Ekelen
mesh_terms: D000328:Adult; D006332:Cardiomegaly / Q000000981:diagnostic imaging / Q000209:etiology; D004314:Down Syndrome / Q000150:complications*; D004562:Electrocardiography; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000188:drug therapy; D008297:Male; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013974:Thyroxine / Q000627:therapeutic use; D014463:Ultrasonography
chemical_list: D013974:Thyroxine