青少年脑脊髓炎性心脏病

IF 0.3 Q4 PEDIATRICS
Jean M. Bennett, R. Bridwell, C. Percival, Monesha Gupta Malhotra, Elumalai Appachi, M. Salameh
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引用次数: 0

摘要

摘要粘液水肿性心脏病是一种罕见的疾病,很少有病例报告。我们报告了一例罕见的儿童,其表现为继发于粘液水肿性心脏病的严重充血性心力衰竭,并伴有先前存在的瓣膜性心脏病。患者被送入儿科重症监护室并接受医疗管理。超声心动图显示严重的双心室功能障碍和严重的瓣膜病。她开始服用左旋甲状腺素和左旋甲状腺素。在患者住院期间,甲状腺素水平正常,但促甲状腺激素继续升高。同样,她的心室功能也有所改善,尽管没有恢复到基线水平。我们的病例强调了对患有充血性心力衰竭的儿童保持广泛鉴别诊断的重要性,包括甲状腺疾病,这需要一种罕见但具体的治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Myxedema Heart Disease in a Teenage Child
Abstract Myxedema heart disease is an exceptionally rare condition with few reported cases. We present a rare case of a child who presented with severe congestive heart failure secondary to myxedema heart disease complicated by preexisting valvular heart disease. The patient was admitted to the pediatric intensive care unit and medical management. An echocardiogram showed severe biventricular dysfunction and severe valvular disease. She was started on levothyroxine and liothyronine. During the patient's hospitalization, the thyroxine level normalized but the thyroid-stimulating hormone continued to remain elevated. Likewise, her cardiac ventricular function improved, though it did not return to baseline. Our case highlights the importance of maintaining a broad differential diagnosis in a child who presents with congestive heart failure, to include thyroid disease, which necessitates a rare but specific management strategy.
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CiteScore
0.50
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19
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