Muhammad Nadir Khan, Aneela Afreen.
Pleuro-pericardial effusion as sole presentation of hypothyroidism.
Pak Armed Forces Med J Jan ;69(Suppl1):S174-5.

Effusions either pleural, pericardial or ascites have been a rare manifestation of hypothyroidism but it is extremely rare for hypothyroidism to present solely with silent pleural and pericardial effusions incidentally found while being evaluated for other purposes without any other symptom or clinical sign. We present here a case of 25 years old female who was incidentally found to have bilateral pleural and massive pericardial effusion. Following complete investigations cause found was hypothyroidism and treatment started with levothyroxine to which the patient responded well.

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