title: First and only manifestation of Hashimoto's disease: pericardial tamponade.
abstract: Pericardial effusion in hypothyroidism is a common finding, but an effusion which causes cardiac tamponade is a rarity. A 39-year-old man without previous medical history presented with progressive shortness of breath. Transthoracic echocardiography revealed massive pericardial effusion with tamponade findings. Thyroid function analysis showed raised thyroid-stimulating hormone associated with a severe decrease of free thyroxine and triiodothyronine. Antithyroglobulin and antithyroperoxidase antibodies were significantly high. The echocardiography-guided pericardiocentesis was followed by thyroid replacement therapy with the diagnosis of Hashimoto's disease. We report a case of pericardial tamponade as the first and only manifestation of Hashimoto's disease.
authors.affiliation: Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Clinic, İstanbul, Turkey. yalchinveliyev@gmail.com.
authors.forename: Yalçın
authors.initials: Y
authors.lastname: Velibey
authors.forename: Ali Nazmi
authors.initials: AN
authors.lastname: Calık
authors.forename: Seçkin
authors.initials: S
authors.lastname: Satılmış
authors.forename: Hülya
authors.initials: H
authors.lastname: Ilıksu
mesh_terms: D002305:Cardiac Tamponade / Q000175:diagnosis; D004452:Echocardiography; D050031:Hashimoto Disease; D006801:Humans; D007037:Hypothyroidism; D010490:Pericardial Effusion; D020519:Pericardiocentesis