Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2018

Open Access 01-12-2018 | Case report

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

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

Published in: Journal of Medical Case Reports | Issue 1/2018

Login to get access

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.
Literature
1.
go back to reference Martorell PM, Roep BO, Smit JWA. Autoimmunity in Addison’s disease. Neth J Med. 2002;60(7):269–75.PubMed Martorell PM, Roep BO, Smit JWA. Autoimmunity in Addison’s disease. Neth J Med. 2002;60(7):269–75.PubMed
Metadata
Title
Reversible dilated cardiomyopathy as a complication of adrenal cortex insufficiency: a case report
Authors
Mohammad Alkhateeb
Mohammad Alsakkal
Mohammad Nour Alfauri
Diana Alasmar
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2018
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-018-1899-1

Other articles of this Issue 1/2018

Journal of Medical Case Reports 1/2018 Go to the issue