Invasive fi brous thyroiditis (Riedel’s disease) with signs of giant cell arteritis
نویسندگان
چکیده
OBJECTIVES: The authors described a case of Riedel’s thyroiditis, a relatively rare disease affecting the thyroid gland. RESULTS: A 38-year-old female was diagnosed with Riedel’s thyroiditis by a frozen section examination during attempted surgery for the suspicion of malignancy. The histopathologic examination confi rmed the diagnosis of Riedel’s thyroiditis combined with signs of giant cell arteritis. After hemithyroidectomy, the patient had paresis of the recurrent laryngeal nerve for fi ve days and signs of hypothyroidism and hypoparathyroidism for three months after surgery. The level of thyroid peroxidase antibodies titer was higher. The patient had no compression symptoms, no signs of systemic immunopathology, and no signs of extracervical fi brosis. She was put on prednison 5 mg daily. CONCLUSIONS: Riedel’s thyroiditis can be looked upon as a cervical fi brosis of unknown etiology affecting the thyroid. In our case it was combined with signs of giant cell arteritis. C A S E
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