Severe Pericardial Effusion due to Autoimmune Hypothyroidism with Levothyroxine Withdrawal and Systemic Lupus Erythematosus

Main Article Content

Sylvernon Israel
https://orcid.org/0000-0001-6454-0944
Katherine Ann Tan
https://orcid.org/0000-0002-1618-7784
Ma. Felisse Carmen Gomez
Florence Rochelle Gan
https://orcid.org/0000-0001-5256-8018
Jean Uy-Ho
https://orcid.org/0000-0002-1369-1192

Abstract

The presence of autoantibodies is a common link between autoimmune hypothyroidism (AH) and Systemic Lupus Erythematosus (SLE). The coexistence of AH (Hashimoto’s Thyroiditis) and SLE is common; however,  massive pericardial effusion (PEEF) with signs of tamponade is extremely rare and only a few cases have been reported in literature. We present a case of a 54-year-old female who came in with progressive dyspnea who was found out to have massive PEEF from overt AH and concurrent SLE, which was successfully managed medically. This gave us valuable insight that massive pericardial effusion occurring in overt hypothyroidism may be secondarily caused by other co-existing disease entities such as SLE. The importance of the correct diagnosis cannot be overemphasized, as this largely contributed to the successful management of this case.

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How to Cite
Israel, S., Tan, K. A. ., Gomez, M. F. C., Gan, F. R., & Uy-Ho, J. (2022). Severe Pericardial Effusion due to Autoimmune Hypothyroidism with Levothyroxine Withdrawal and Systemic Lupus Erythematosus. Journal of the ASEAN Federation of Endocrine Societies. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/1935
Section
Case Reports
Author Biographies

Sylvernon Israel, University of Santo Tomas Hospital, Manila, Philippines

Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine,

Katherine Ann Tan, University of Santo Tomas Hospital, Manila, Philippines

Section of Cardiology, Department of Internal Medicine

Ma. Felisse Carmen Gomez, University of Santo Tomas Hospital, Manila, Philippines

Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine

Florence Rochelle Gan, University of Santo Tomas Hospital, Manila, Philippines

Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine

Jean Uy-Ho, University of Santo Tomas Hospital, Manila, Philippines

Section of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine

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