Endocrinol Metab.  2011 Sep;26(3):248-252. 10.3803/EnM.2011.26.3.248.

A Case of Ascites and Extensive Abdominal Distension Caused by Reversible Pulmonary Arterial Hypertension Associated with Graves' Disease

• Choi B
• Eom YS
• Kim SH
• Choi HS
• Chung WJ
• Lee S

• KMID: 2169177
• DOI: http://doi.org/10.3803/EnM.2011.26.3.248

Abstract

Patients with hyperthyroidism can develop left ventricular dysfunction and heart failure, but severe pulmonary hypertension association with hyperthyroidism is rarely seen. Herein, we describe the case of a 27-year-old female who presented with abdominal distension accompanied by pulmonary arterial hypertension and Graves' disease. Her pulmonary arterial hypertension was improved by treating the hyperthyroidism and pulmonary artery hypertension. Additionally, the patient's symptoms of right-side heart failure improved after pulmonary arterial pressure was reduced. Hyperthyroidism should be regarded as a reversible cause of associated pulmonary arterial hypertension.

Keyword

Graves' disease; Pulmonary arterial hypertension

MeSH Terms

Adult
Arterial Pressure
Ascites
Female
Graves Disease
Heart Failure
Humans
Hypertension
Hypertension, Pulmonary
Hyperthyroidism
Pulmonary Artery
Ventricular Dysfunction, Left
Hypertension, Pulmonary