An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition

oleh: Woosun Kang, MD, MPH, Yu Zong, MD, Dhruvil Ashishkumar Patel, MD, Tushar Mishra, MD, Luis Afonso, MD

Format: Article
Diterbitkan: Elsevier 2024-03-01

Deskripsi

A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-up revealed scurvy, with a dramatic resolution of symptoms shortly after vitamin C supplementation.