An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy

We report a case of 36 yr old male without any comorbidities, who presented with a history of gradually progressive dyspnoea and orthopnoea for 6 months. Physical examination revealed bradycardia, paradoxical respiration suggestive of bilateral diaphragmatic palsy. Fluoroscopy demonstrated the prese...

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Autores principales: Thulaseedharan, N.K., Geetha, P., Arathi, N., Shameer, V.K., Jayachandran, N.V., Subramaniam, Gomathy, Narayanan, Santhosh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407574/
https://www.ncbi.nlm.nih.gov/pubmed/28480162
http://dx.doi.org/10.1016/j.rmcr.2017.04.016
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author Thulaseedharan, N.K.
Geetha, P.
Arathi, N.
Shameer, V.K.
Jayachandran, N.V.
Subramaniam, Gomathy
Narayanan, Santhosh
author_facet Thulaseedharan, N.K.
Geetha, P.
Arathi, N.
Shameer, V.K.
Jayachandran, N.V.
Subramaniam, Gomathy
Narayanan, Santhosh
author_sort Thulaseedharan, N.K.
collection PubMed
description We report a case of 36 yr old male without any comorbidities, who presented with a history of gradually progressive dyspnoea and orthopnoea for 6 months. Physical examination revealed bradycardia, paradoxical respiration suggestive of bilateral diaphragmatic palsy. Fluoroscopy demonstrated the presence of bilateral diaphragmatic paralysis. Etiological work up showed evidence of autoimmune hypothyroidism due to hashimoto's thyroiditis. Other possibilities were ruled out with appropriate tests. He was started on thyroxine and showed symptomatic improvement.
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spelling pubmed-54075742017-05-05 An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy Thulaseedharan, N.K. Geetha, P. Arathi, N. Shameer, V.K. Jayachandran, N.V. Subramaniam, Gomathy Narayanan, Santhosh Respir Med Case Rep Case Report We report a case of 36 yr old male without any comorbidities, who presented with a history of gradually progressive dyspnoea and orthopnoea for 6 months. Physical examination revealed bradycardia, paradoxical respiration suggestive of bilateral diaphragmatic palsy. Fluoroscopy demonstrated the presence of bilateral diaphragmatic paralysis. Etiological work up showed evidence of autoimmune hypothyroidism due to hashimoto's thyroiditis. Other possibilities were ruled out with appropriate tests. He was started on thyroxine and showed symptomatic improvement. Elsevier 2017-04-21 /pmc/articles/PMC5407574/ /pubmed/28480162 http://dx.doi.org/10.1016/j.rmcr.2017.04.016 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Thulaseedharan, N.K.
Geetha, P.
Arathi, N.
Shameer, V.K.
Jayachandran, N.V.
Subramaniam, Gomathy
Narayanan, Santhosh
An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy
title An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy
title_full An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy
title_fullStr An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy
title_full_unstemmed An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy
title_short An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy
title_sort unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407574/
https://www.ncbi.nlm.nih.gov/pubmed/28480162
http://dx.doi.org/10.1016/j.rmcr.2017.04.016
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