There was no jugular venous distention, no lymphadenopathies and no organomegalies. Her vital signs were as following: blood pressure 80/50 mmHg, temperature 37.0°, heart rate (HR) 100/minute, and respiratory rate (RR) 20/minute. A physical examination on admission revealed mild pallor, light pigmentation on the lips, and a body mass index (BMI) of 17.9 kg/m 2. Proper treatment of adrenal insufficiency with glucocorticoid replacement therapy resulted in restoration of normal cardiac function.Īn 11-year-old Caucasian girl presented to the Pediatric Hospital in Damascus with a 2-month history of diffuse abdominal pain, yellowish vomiting after meals, a low-grade fever (38.5°) that responded to anti-pyretic medications, malaise, and polyuria. Conclusionsĭilated cardiomyopathy is a rare complication of primary adrenal insufficiency. Causes of primary adrenal insufficiency other than autoimmune were excluded. An echocardiogram showed changes consistent with dilated cardiomyopathy.
A physical examination and laboratory evaluation suggested primary adrenal insufficiency. Case presentationĪn 11-year-old Caucasian girl with no significant past medical history presented with abdominal pain, vomiting after meals, and a low-grade fever. It is the first reported case of reversible cardiomyopathy as a complication of primary adrenal insufficiency in Syria. Glucocorticoid replacement therapy resulted in near-complete recovery of cardiac function. We described a case of an 11-year-old girl who developed dilated cardiomyopathy as a complication to Addison’s disease.
Cardiovascular manifestations associated with Addison’s disease are previously documented.
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