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KMID : 0882420090760010078
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Korean Journal of Medicine
2009 Volume.76 No. 1 p.78 ~ p.84
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A case of Sheehan’s syndrome that presented with a pericardial effusion
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Jeong Su-Jin
Kim So-Young
Jin Heung-Yong
Park Ji-Hyun
Park Tae-Sun
Baek Hong-Sun
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Abstract
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Pericardial effusions are found in as many as 30% of cases of primary hypothyroidism, but are extremely rare in cases of secondary hypothyroidism. We report a case of Sheehan’s syndrome that presented with a moderate pericardial effusion. A 44-year-old female was admitted to the hospital because of dyspnea and drowsiness. She had a history of postpartum hemorrhage and underwent a hysterectomy at the age of 32. Based on the biochemical analysis, the patient had severe panhypopituitarism. A chest x-ray revealed cardiomegaly and an echocardiogram showed the presence of a pericardial effusion. The pericardial effusion resolved completely with thyroxine and glucocorticoid replacement without pericardiocentesis.
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KEYWORD
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Hypothyroidism, Pericardial effusion, Sheehan’s syndrome
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