Pretibial Edema Is One of the Sign of Thyrotoxicosis A Case of Thyroid Heart Disease and Unilateral Pretibial Edema

Abstract

Thyroid heart disease is one of the many and frequent complication of thyrotoxicosis, which also manifest in extra cardiovascular system.
Opthalmopathy is a well-known and well-studied complication of thyro-toxicosis, and another is dermopathy, which manifests as pretibial edema.
This case presentation describes a patient of long standing thyrotoxicosis with thyroid heart disease. In this particular case, the patient developed unilateral pretibial edema which posed a diagnostic challenge.
In dealing with that, it would be important to con-sider several differential diagnosis. Some of the differ-ential diagnosis of unilateral pretibial edema are actu-ally not proven due to limited hospital stay, but an analysis of differential diagnosis will be presented and hopefully will lead to better recognition of clinical symptoms and signs of thyrotoxicosis, its complica-tions and lead to appropriate diagnostic studies.

Downloads

Download data is not yet available.

References

Goldman LE, Sahlas DJ, Sami M. A case of thyrotoxicosis and reversible systolic cardiac dysfunction. Can J Cardiol1999; 15:811-814

Klein I, Ojamaa K. Thyroid hormone and the cardiovascular system. N Engl J Med2001; 344(7):501-9

Schwartz KM, Fatourechi V, Ahmed DF, Pond GR. Dermopathy of Graves’ Disease (Pretibial Myxedema): Long-Term Outcome. J Clin Endocrinol & Metab2002;87(2): 438-446

Kaplan MM. The thyroid and the heart: How do they interact? J Cardiovasc Med1982;7:893

Constant J. Bedside Cardiology. Lippincott-William Wilkins. 1999.24

Gorman PW, Davis KR, Donnelly R. ABC of arterial and venous disease. Swollen lower limb—1: General assessment and deep vein thrombosis. BMJ2000;320:1453-6

Birdwell BG, Whitsett TL. Evaluation of the swollen leg. 1995. Available at http://meded.ucsd.edu/isp/1994/im-quiz/quiz3.htm#q27. Last accessed February 10, 2005

Zevitz ME. Heart Failure. Emedicine Clinical Series. Available at http://www.emedicine.com/med/topic3552.htm.

Blum K. Heart Failure. AACN Clinical Series 2003;14(4); 498-511. Available at http://www.aacn.org/pdfLibra.NSF/Files/Article%20CI1442/$file/CI140406.pdf.

Schereiber D. Deep venous thrombosis and thrombophlebitis. Emedicine Clinical Series. Available at http: www.emedicine .com/med/topic2785.htm.

Bates SM, Ginsberg JS. Treatment of deep venous thrombosis. N Engl J Med2004;351:268-77

Hook WE. Microbiologic evaluation of cutaneous cellulitis in adults. Arch Intern Med146:295, 1986

McGavin CR, Clancy LJ. Cellulitis in complicated pneu-mococcal pneumonia. Br J Dis Chest. 1977;71(3):213-4

Mortimer PS. ABC of arterial and venous disease. Swollen lower limb—2: Lymphedema. BMJ2000:320;1527-9
Views & Downloads
Abstract views: 107   
PDF downloads: 49   
How to Cite
Pretibial Edema Is One of the Sign of Thyrotoxicosis A Case of Thyroid Heart Disease and Unilateral Pretibial Edema. (1). Indonesian Journal of Cardiology, 28(4), 310-314. https://doi.org/10.30701/ijc.v28i4.235
Section
Case Reports