저자들은 호흡곤란과 의식변화를 주소로 내원한 44세 여자에서 부신피질호르몬 및 갑상선호르몬 투여 후 뚜렷이 개선된 심낭삼출액으로 발현한 이차성 갑상선기능저하증을 보이는 쉬한증후군을 경험하였기에 보고하는 바이다.

Pericardial effusions are found in as many as 30% of cases of primary hypothyroidism, but are extremely rare in cases of secondary hypothyroidism. We report a case of Sheehan`s syndrome that presented with a moderate pericardial effusion. A 44-year-old female was admitted to the hospital because of dyspnea and drowsiness. She had a history of postpartum hemorrhage and underwent a hysterectomy at the age of 32. Based on the biochemical analysis, the patient had severe panhypopituitarism. A chest x-ray revealed cardiomegaly and an echocardiogram showed the presence of a pericardial effusion. The pericardial effusion resolved completely with thyroxine and glucocorticoid replacement without pericardiocentesis. (Korean J Med 76:78-84, 2009)