Letter to the Editor
Year: 2016 | Month: October | Volume: 6 | Issue: 10 | Pages: 299-301
Autoimmune Hypothyroidism and Pericardial Effusion in a Toddler
Priyanka Gupta1, Abhinav Jain2, Ridhimaa Jain2
1Department of Pediatrics, 2Department of Radiodiagnosis,
Hamdard Institute of Medical Sciences and Research, New Delhi.
Corresponding Author: Priyanka Gupta
ABSTRACT
A 3 year old girl child with bilateral pitting pedal edema for one month; and acute onset facial swelling and listlessness for last one week was brought to the emergency department. Patient was found to have mild macrocytic anemia (Hb 9.4 gm/dL with MCV 92 fL), hypercholesterolemia (total cholesterol 329 mg/dL), cardiomegaly on chest X-ray (cardiothoracic ratio 65%). Echocardiography confirmed mild non-tappable pericardial effusion with good myocardial contractility and normal ejection fraction. Hypothyroidism should be included in the differential diagnosis of unexplained pericardial effusion especially when associated with lipid abnormalities.
Key words: Hashimoto disease, pericardial effusion, young child.