Reversible dilated cardiomyopathy as a complication of adrenal cortex insufficiency: a case report

Zeitschrift:: Journal of Medical Case Reports > Ausgabe 1/2018

Autoren:: Mohammad Alkhateeb, Mohammad Alsakkal, Mohammad Nour Alfauri, Diana Alasmar

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Abstract

Background

Cardiovascular manifestations associated with Addison’s disease are previously documented. We described a case of an 11-year-old girl who developed dilated cardiomyopathy as a complication to Addison’s disease. Glucocorticoid replacement therapy resulted in near-complete recovery of cardiac function. It is the first reported case of reversible cardiomyopathy as a complication of primary adrenal insufficiency in Syria.

Case presentation

An 11-year-old Caucasian girl with no significant past medical history presented with abdominal pain, vomiting after meals, and a low-grade fever. A physical examination and laboratory evaluation suggested primary adrenal insufficiency. An echocardiogram showed changes consistent with dilated cardiomyopathy. Causes of primary adrenal insufficiency other than autoimmune were excluded.

Conclusions

Dilated cardiomyopathy is a rare complication of primary adrenal insufficiency. Proper treatment of adrenal insufficiency with glucocorticoid replacement therapy resulted in restoration of normal cardiac function.

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Titel: Reversible dilated cardiomyopathy as a complication of adrenal cortex insufficiency: a case report
Autoren:: Mohammad Alkhateeb
Mohammad Alsakkal
Mohammad Nour Alfauri
Diana Alasmar
Publikationsdatum: 01.12.2018
DOI: https://doi.org/10.1186/s13256-018-1899-1
Verlag: BioMed Central
Zeitschrift: Journal of Medical Case Reports
Ausgabe 1/2018
Elektronische ISSN: 1752-1947

Springer Medizin

Abstract

Background

Case presentation

Conclusions

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