A rare case of Hypothyroidism in a male presenting as Polyserositis

Bhatia, Jasmine Kaur; Kamath, Vasantha; Radhika, B. H.

doi:10.4103/2666-1802.260284

Cited by 2 publications

(3 citation statements)

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“…The most typical clinical features of hypothyroidism include cold intolerance, fatigue, weight gain, constipation, and dry skin 12,13 . Ascites, pericardial effusion, or pleural effusion can all occur alone in patients with primary hypothyroidism; however, the occurrence of all three together is highly uncommon and not well recognized 14 . Hypothyroidism‐related pericardial and pleural effusions have features that lie in between exudate and transudate and exhibit little sign of inflammation 15 .…”

Section: Discussionmentioning

confidence: 99%

“… 12 , 13 Ascites, pericardial effusion, or pleural effusion can all occur alone in patients with primary hypothyroidism; however, the occurrence of all three together is highly uncommon and not well recognized. 14 Hypothyroidism‐related pericardial and pleural effusions have features that lie in between exudate and transudate and exhibit little sign of inflammation. 15 Different pleural fluid characteristics, including transudative, exudative, and bloody pleural effusions, have been reported from patients with multiple body cavity fluid collections due to hypothyroidism.…”

Section: Discussionmentioning

confidence: 99%

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Polyserositis caused by tuberculosis in a young female patient with hypothyroidism: A diagnostic challenge

Solela,

Kedir,

Daba

2023

Clinical Case Reports

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Key Clinical MessagesThe diagnosis of polyserositis due to tuberculosis (TB) is complex and challenging, which may cause delays in treatment. TB should be ruled out first before attributing polyserositis to any other cause like hypothyroidism, particularly in high TB burden countries.AbstractPolyserositis has numerous causes and frequently occurs in neoplasia, autoimmune disorders, endocrine conditions like hypothyroidism, and infectious diseases like tuberculosis (TB). The diagnosis of TB polyserositis is complex and challenging, which may cause the start of definitive therapy to be delayed. Here, we report the case of a 32‐year‐old female patient who presented with abdominal distension for 3 weeks associated with shortness of breath, cough, excessive fatigue, and loss of appetite. Thyroid function tests were suggestive of primary hypothyroidism, and later on, sputum GeneXpert MTB/RIF test turned out to be positive. She was initially started on oral levothyroxine and then anti‐TB medications. The polyserositis resolved a month after the initiation of anti‐TB drugs. TB should be ruled out first before attributing polyserositis to any other cause like hypothyroidism, particularly in high TB burden countries. Microbiologic tests, such as GeneXpert, remain the most important tools to make a diagnosis of TB and start anti‐TB medications early.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Polyserositis caused by tuberculosis in a young female patient with hypothyroidism: A diagnostic challenge

Solela,

Kedir,

Daba

2023

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…The most typical clinical features of hypothyroidism include cold intolerance, fatigue, weight gain, constipation, and dry skin [11,12]. In patients with primary hypothyroidism, ascites, pericardial effusion, or pleural effusion can all occur alone; however, the occurrence of all three together is highly uncommon and not well recognized [13]. Hypothyroidism-related pericardial and pleural effusions have features that lie in between exudate and transudate and exhibit little sign of inflammation [14].…”

Section: Discussionmentioning

confidence: 99%

Polyserositis Caused by Tuberculosis in a Young Female Patient with Hypothyroidism: A Diagnostic Challenge

Solela,

Kedir,

Daba

2023

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Introduction:The most frequent causes of polyserositis include neoplasia, autoimmune diseases, and infections. Polyserositis, an uncommon feature of disseminated tuberculosis (TB), may delay diagnosis of TB. Patients with hypothyroidism have a higher risk of developing tuberculosis compared to those without hypothyroidism.Case presentation: Here, we report the case of a 32-year-old female patient who presented with a complaint of abdominal distension of 3 weeks associated with shortness of breath and excessive fatigue. Thyroid function tests were suggestive of primary hypothyroidism and sputum GeneXpert was positive for tuberculosis with exudative pleural effusion. The polyserositis resolved following the initiation of levothyroxine and antituberculosis drugs. Conclusion:Polyserositis is extremely rare in patients with primary hypothyroidism and it is uncommon presentation of tuberculosis. Evaluation for tuberculosis should be the rule for any patient presenting with polyserositis, especially in high tuberculosis burden countries.

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A rare case of Hypothyroidism in a male presenting as Polyserositis

Cited by 2 publications

References 0 publications

Polyserositis caused by tuberculosis in a young female patient with hypothyroidism: A diagnostic challenge

Polyserositis caused by tuberculosis in a young female patient with hypothyroidism: A diagnostic challenge

Polyserositis Caused by Tuberculosis in a Young Female Patient with Hypothyroidism: A Diagnostic Challenge

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