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Unusual presentation of more common disease/injury
Graves’ disease—familiar foe, unfamiliar face
  1. Sadishkumar Kamalanathan1,
  2. Karthik Balachandran1,
  3. Gobu Packirisamy2,
  4. Abdoul Hamide3
  1. 1Department of Endocrinology, Jawaharlal Institute of Post Graduate Medical Education & Research, Puducherry, India
  2. 2Department of Cardiology, Jawaharlal Institute of Post Graduate Medical Education & Research, Puducherry, India
  3. 3Department of Medicine, Jawaharlal Institute of Post-Graduate Medical Education & Research, Puducherry, India
  1. Correspondence to Dr Sadishkumar Kamalanathan, sadishkk{at}gmail.com

A 38-year-old man from a remote tribal area of South India presented with right heart failure. On evaluation, he was found to have untreated Graves’ disease (GD) with atrial fibrillation and pulmonary hypertension. The left ventricular function was normal. Secondary causes for pulmonary hypertension were ruled out. He was treated with carbimazole and low-dose propranolol. Post 4 months medical therapy, his pulmonary hypertension completely reversed, thus establishing GD as a reversible cause of pulmonary hypertension and isolated right heart failure.

https://doi.org/10.1136/bcr-2012-006197

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.