Typical and reverse Takotsubo syndromes as initial manifestations of consecutive Addisonian crises in a 38-year-old patient: the heart has its reasons!
BMJ Case Rep
; 14(1)2021 Jan 28.
Article
em En
| MEDLINE
| ID: mdl-33509872
ABSTRACT
We report an interesting case of a 38-year-old woman presenting with reverse Takotsubo syndrome (TTS) secondary to an Addisonian crisis, her second such episode. A few years prior, she had presented with typical TTS in the setting of Addisonian crisis; diagnostic work-up revealing Auto-Immune Polyglandular Syndrome Type II (APS II). We believe this to be the first case report of typical and variant phenotypes of TTS in a patient with APS II. The pathogenic link between these two conditions is explored. In patients presenting with Addisonian crises and refractory shock, the possibility of concurrent TTS should be considered. TTS muddies the diagnostic waters and poses therapeutic challenges as outlined.
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Base de dados:
MEDLINE
Assunto principal:
Hidrocortisona
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Doença de Addison
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Poliendocrinopatias Autoimunes
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Cardiomiopatia de Takotsubo
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Adesão à Medicação
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article