Hypothyroidism and non-cardiogenic pulmonary edema: are we missing something here?

Endocrinology, Diabetes & Metabolism Case Reports

article

Mohammed Al-Sofiani¹  Dhimitri Nikolla²  V V S Ramesh Metta¹ 

[1] Department of Medicine, South Buffalo Mercy Hospital, University at Buffalo;Lake Erie College of Osteopathic Medicine

关键词: Adult;    Female;    White;    United States;    Thyroid;    Thyroid;    Thyroxine (T4);    TSH;    Hypothyroidism;    Pulmonary oedema;    Dyspnoea;    Coughing;    Sore throat;    Fatigue;    Cold intolerance;    Constipation;    Menorrhagia;    Crackles;    Oedema;    X-ray;    TSH;    FT4;    Electrocardiogram;    Echocardiogram;    CT scan;    Brain natriuretic peptide;    Furosemide;    Levothyroxine;    Unique/unexpected symptoms or presentations of a disease;    April;    2015;   

DOI  :  10.1530/EDM-15-0014

学科分类：血液学

来源: Bioscientifica Ltd.

【 摘 要 】

We report the case of a 42-year-old female with a history of hypothyroidism and asthma presenting with progressive dyspneaand orthopnea after 2 days of an upper respiratory tract infection (URTI). Based on the clinical and radiological findings, thepatient was admitted as a case of cardiogenic pulmonary edema secondary to possible viral myocarditis. However, a normalbrain natriuretic peptide (BNP) level with a normal ejection fraction (EF) on echocardiogram changed our working diagnosisfrom cardiogenic to non-cardiogenic pulmonary edema. Further questioning revealed a history of nocturnal snoring,frequent awakening, and daytime fatigue, suggesting a possible sleep apnea syndrome (SAS). In conclusion, we believe thatSAS was the missing link between our patient’s hypothyroidism and non-cardiogenic pulmonary edema.

【 授权许可】

CC BY-NC-ND