دورية أكاديمية
Reidel’s Thyroiditis, a Diagnostic and Management Challenge: A Case Report and Review of the Literature
العنوان: | Reidel’s Thyroiditis, a Diagnostic and Management Challenge: A Case Report and Review of the Literature |
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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 |
تدمد: | 20906501 2090651X |
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DOI: | 10.1155/2021/5185259 |