Please use this identifier to cite or link to this item: http://ir.swu.ac.th/jspui/handle/123456789/14144
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dc.contributor.authorAngkananard T.
dc.contributor.authorChonmaitree P.
dc.contributor.authorPetborom P.
dc.date.accessioned2021-04-05T03:33:17Z-
dc.date.available2021-04-05T03:33:17Z-
dc.date.issued2014
dc.identifier.issn19415923
dc.identifier.other2-s2.0-84899757577
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84899757577&doi=10.12659%2fAJCR.890340&partnerID=40&md5=67b5bfa05ef88dc333763cc5ff7a16ec
dc.identifier.urihttp://ir.swu.ac.th/jspui/handle/123456789/14144-
dc.description.abstractBackground: Hyperthyroidism is one of the important causes of high-output failure and reversible pulmonary artery hypertension. Severe pulmonary artery hypertension is rarely found in associated with hyperthyroidism due to the small number of cases reported. We present an interesting case with multiple unexpected findings of the possible causes of severe pulmonary artery hypertension: hyperthyroidism, pulmonary embolism, and ostium secundum atrial septal defect. Case Report: We present the case of a previously healthy rural Thai man who progressively developed dyspnea on exertion, chronic diarrhea, and jaundice for the previous 3 months. Physical examination revealed right-sided predominate chronic heart failure with signs of pulmonary hypertension. The investigation demonstrated autoimmune hyperthyroidism, cholestatic jaundice, moderate tricuspid regurgitation, ostium secundum atrial septal defect, and severe pulmonary artery hypertension. After treatment with an anti-thyroid drug and closure of the ostium secundum atrial septal defect, his symptoms of jaundice and pulmonary artery pressure were completely resolved. Conclusions: Severe pulmonary artery hypertension may not solely be a result of hyperthyroidism. Further investigation for other causes is recommended. © Am J Case Rep, 2014.
dc.subjectalanine aminotransferase
dc.subjectalbumin
dc.subjectalkaline phosphatase
dc.subjectaspartate aminotransferase
dc.subjectbilirubin
dc.subjectfurosemide
dc.subjectglobulin
dc.subjectpropylthiouracil
dc.subjectspironolactone
dc.subjectthyroglobulin antibody
dc.subjectthyroid peroxidase antibody
dc.subjectthyrotropin
dc.subjectwarfarin
dc.subjectadult
dc.subjectalanine aminotransferase blood level
dc.subjectalbumin blood level
dc.subjectalkaline phosphatase blood level
dc.subjectarticle
dc.subjectascites
dc.subjectaspartate aminotransferase blood level
dc.subjectbilirubin blood level
dc.subjectcardiomegaly
dc.subjectCarvallo sign
dc.subjectcase report
dc.subjectchronic diarrhea
dc.subjectcomputed tomographic angiography
dc.subjectdyspnea
dc.subjectelectrocardiography
dc.subjectglobulin blood level
dc.subjectgoiter
dc.subjectheart atrium septum defect
dc.subjectheart disease
dc.subjectheart right ventricle failure
dc.subjectheart right ventricle hypertrophy
dc.subjecthepatojugular reflux
dc.subjecthuman
dc.subjecthyperthyroidism
dc.subjectleg edema
dc.subjectliothyronine blood level
dc.subjectliver function test
dc.subjectlung blood vessel
dc.subjectmale
dc.subjectmiddle aged
dc.subjectobstructive jaundice
dc.subjectonycholysis
dc.subjectphysical examination
dc.subjectpleura effusion
dc.subjectpulmonary hypertension
dc.subjectsinus tachycardia
dc.subjectsystolic heart murmur
dc.subjectthoracocentesis
dc.subjectthorax radiography
dc.subjectthyroglobulin blood level
dc.subjectthyroid hormone blood level
dc.subjectthyrotropin blood level
dc.subjectthyroxine blood level
dc.subjecttransesophageal echocardiography
dc.subjecttransthoracic echocardiography
dc.subjectvascular closure device
dc.subjectvenous reflux
dc.titleUnexpected causes of pulmonary hypertension in a previously healthy Thai rural man with right-sided heart failure
dc.typeArticle
dc.rights.holderScopus
dc.identifier.bibliograpycitationAmerican Journal of Case Reports. Vol 15, (2014), p.180-184
dc.identifier.doi10.12659/AJCR.890340
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