دورية أكاديمية

Reidel’s Thyroiditis, a Diagnostic and Management Challenge: A Case Report and Review of the Literature

التفاصيل البيبلوغرافية
العنوان: Reidel’s Thyroiditis, a Diagnostic and Management Challenge: A Case Report and Review of the Literature
المؤلفون: Yassine Er-Rahali, Mohammed Massine El Hammoumi, Jad Issouani, Colna Antonio Nfad, Souad El Moussaoui, El Hassane Kabiri, Ahmed Anass Guerboub
المصدر: Case Reports in Endocrinology, Vol 2021 (2021)
بيانات النشر: Hindawi Limited, 2021.
سنة النشر: 2021
المجموعة: LCC:Diseases of the endocrine glands. Clinical endocrinology
مصطلحات موضوعية: Diseases of the endocrine glands. Clinical endocrinology, RC648-665
الوصف: Riedel's thyroiditis is a very rare inflammatory condition. It affects not only the thyroid gland but also the adjacent vital structures. It may also be associated with different forms of systemic fibrotic disorders. The exact etiology is unknown, but currently, the most favorable opinion is that it is a localized form of the systemic fibrotic process. We report the case of a 38-year-old woman, presented with a 10-month history of progressive hypothyroidism, dysphonia, and dysphagia. A Doppler ultrasound study revealed massive thyroid enlargement with multiple Eu TIRADS 3 and 4 nodules. Fine needle aspiration was noncontributive on two occasions. A hard subtotal thyroidectomy was performed. Pathological study confirmed Riedel's thyroiditis with the presence of IgG4 antibodies in immunohistochemistry. The patient was successfully treated with levothyroxine replacement and corticosteroid therapy with rapid resolution of obstructive symptoms. The case descriptions highlight the diagnostic challenge of this disease, describe the response to surgical management and corticosteroid therapy, and give a short review of the subject.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2090-6501
2090-651X
Relation: https://doaj.org/toc/2090-6501; https://doaj.org/toc/2090-651X
DOI: 10.1155/2021/5185259
URL الوصول: https://doaj.org/article/a19ab79e04984ad59edaba6120ca10af
رقم الأكسشن: edsdoj.19ab79e04984ad59edaba6120ca10af
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20906501
2090651X
DOI:10.1155/2021/5185259