Congestive heart failure (CHF) related to Sjogren's syndrome is extremely rare. This report concerns a patient who presented with CHF and severe thrombocytopenia (5,000/μl). Serum concentrations of K, Mg and digitoxin were 3.2 mmol/L, 1.4 mg/L and 57.2 ng/ml, respectively. Digitoxin intoxication was evident, seemingly evoked by hypokalemia, hypomagnesemia; hepatorenal dysfunction and hypothyroidism. The severe thrombocytopenia was considered to have been caused by this intoxication, as it disappeared soon after the digitoxin was discontinued and potassium was supplemented.
All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine