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

Abstract 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...

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Published inRespiratory medicine case reports Vol. 21; no. C; pp. 132 - 134
Main Authors Thulaseedharan, N.K., MBBS, MD(General Medicine), Geetha, P., MBBS, MD(General Medicine), Arathi, N., MBBS, MD(General Medicine), Shameer, V.K., MBBS, MD(General Medicine), Jayachandran, N.V., MBBS, MD(General Medicine), Subramaniam, Gomathy, MBBS, MD(Radiodiagnosis), Narayanan, Santhosh, MBBS, MD(General Medicine)
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.01.2017
Elsevier
Subjects
Case Report
Diaphragmatic palsy
hashimoto's thyroiditis
Hypothyroidism
Internal Medicine
Orthopnoea
Pulmonary/Respiratory
hashimoto's thyroiditis
Hypothyroidism
Diaphragmatic palsy
Orthopnoea
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Summary:Abstract 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.
ISSN:2213-0071
2213-0071
DOI:10.1016/j.rmcr.2017.04.016