Anatomopathological Session Case 5 50-Year-Old Woman with Restrictive Cardiomyopathy, Renal Failure and Proteinuria


Woman with 50 years of age, born in Pernambuco, coming from São Paulo, sought medical assistance due to dyspnea caused by minor stress. Four months ago, the patient presented signs of dyspnea caused by moderate effort, which 2 month ago progressed to minimum effortand orthopnea. The patient also presented edema on lower limbs. She sought medical assistance, was diagnosed with heart failure and was admitted for treatment. The patient knew she had hypothyroidism for years. During admission, the patient underwent thoracocentesis to drain pleural effusion. The biochemal analysis of the pleural liquid (6 Dec 2007) revealed lactate dehydrogenase (LDH) (pleural effusion/serum) 104/216 = 0.48; protein (pleural effusion/serum) 2.8/6.2 = 0.45; albumin gradient = 1.5. The patient was discharged with prescription of 80 mg o

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