RESUMO
To date, it has been well documented that there is a relationship between alterations in thyroid hormones and cardiac dysfunction. We experienced a case of a 36-year-old man with dilated cardiomyopathy (DCM) accompanied by undiagnosed primary hypothyroidism. In the current case, there was a significant improvement in the cardiac function following heart failure management and thyroid hormone replacement. Our case highlights that clinicians should consider the possibility of hypothyroidism as a cause of DCM.
Assuntos
Adulto , Humanos , Cardiomiopatia Dilatada , Insuficiência Cardíaca , Hipotireoidismo , Glândula Tireoide , Hormônios TireóideosRESUMO
The title has been spelled incorrectly: "MEALS" should have appeared as "MELAS".
RESUMO
Myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) is a multisystem clinical syndrome manifested by mitochondrial myopathy, encephalopathy, lactic acidosis and recurrent stroke-like episodes. A 27-year-old female with MELAS syndrome presented with cerebral infarction. Echocardiography revealed a thrombus attached to the apex of the hypertrophied left ventricle, with decreased systolic function. The embolism of the intracardiac thrombus might have been the cause of stroke. There should be more consideration given to the increased possibility of intracardiac thrombus formation when a MELAS patient with cardiac involvement is encountered.
Assuntos
Feminino , Humanos , Acidose Láctica , Infarto Cerebral , Ecocardiografia , Embolia , Coração , Ventrículos do Coração , Síndrome MELAS , Miopatias Mitocondriais , Doenças Musculares , Acidente Vascular Cerebral , TromboseRESUMO
Esophageal neuroendocrine carcinomas are very rare and have a poor prognosis. In addition, the optimum treatment has not been established due to the rarity of the condition. An accurate differential diagnosis is important because treatments and clinical courses differ from those of esophageal squamous cell carcinomas. We report a case of a 61-year-old female who underwent endoscopy for dysphagia and was diagnosed with a neuroendocrine carcinoma of the esophagus, which was successfully resected by esophagectomy.
Assuntos
Feminino , Humanos , Carcinoma Neuroendócrino , Carcinoma de Células Escamosas , Transtornos de Deglutição , Diagnóstico Diferencial , Endoscopia , Esofagectomia , Esôfago , Tumores Neuroendócrinos , PrognósticoRESUMO
Myxoma is the most common primary tumor in the heart. Cardiac myxomas can present in various manners including embolization and fever, sometimes simulating endocarditis. However, they are rarely infected. We report here a case of an infected left atrial myxoma that seeded a normal mitral valve and atypically presented with multiple embolic events in the lower extremities along with multiple splenic and a cerebellar infarction.
