Abstract
Riedel’s Thyroiditis is an uncommon form of chronic thyroiditis characterized by an invasive fibrosclerosis of the gland, often involving surrounding tissue. The relationship of Riedel’s Thyroiditis to other forms of thyroiditis is not clear. We presented a 47 year-old woman first diagnosed with sub-acute thyroiditis based on clinical findings and laboratory results. Eight months later, she had a thyroidectomy operation due to an enlargement of the thyroid gland and symptoms of compression. Histopathologic evaluation showed that she had Riedel’s Thyroiditis, but there were some histopathologic findings of sub-acute thyroiditis as well. Until now, there has only been one case reported in which Riedel’s Thyroiditis was diagnosed in a patient with a history of sub-acute thyroiditis in the literature. Although aetiology of Riedel’s Thyroiditis is unknown, it may develop in the course of sub-acute thyroiditis.
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Riedel B.M.C.L. Die chronische, zur bilding eisenhaster tumoren fuhrende entzudung der schilddrus. Verh. Dtsch. Ges. Chir. 25: 101, 1896.
Hay I.D. Thyroiditis: a clinical update. Mayo Clin. Proc. 60: 836–843, 1985.
Chopra D., Wool M., Crosson A., Sawin C.T. Riedel’s struma associated with subacute thyroiditis, hypothyroidism and hypoparathyroidism. J. Clin. Endocrinol. Metab. 46: 869–871, 1978.
Bartholomew L.G., Cain J.C., Woolner L.B. Sclerosing cholangitis. It’s possible association with Riedel’s struma and fibrous retroperitonitis. N. Engl. J. Med. 269: 8–12, 1963.
Rao C.R., Ferguson G.C., Kyle V.N. Retroperitoneal fibrosis associated with Riedel’s struma. Can. Med. Assoc. J. 108: 1019–1021, 1973.
Zimmermann-Belsing T., Feldt-Rasmussen U. Riedel’s thyroiditis: an autoimmune or primary fibrotic disease. J. Intern. Med. 235: 271–274, 1994.
Zelmanovitz F., Zelmanovitz T., Beck M., Cerski C.T., Schmid H., Czepielewski M.A.J. Riedel’s thyroiditis associated with high titers of antimicrosomal and antithyroglobulin antibodies and hypothyroidism. Endocrinol. Invest. 17: 733–737, 1994.
Heufelder A.E., Hay I.D. Evidence for autoimmune mechanisms in the evolution of invasive fibrous thyroiditis (Riedel’s struma). Clin. Invest. 72: 10, 788–793, 1994.
Vaidya B., Harris P.E., Barrett P., Kendall Taylor P. Corticosteroid therapy in Riedel’s thyroiditis. Postgrad. Med. J. 73: 817–819, 1997.
DeGroot L.J. Acute and Subacute thyroiditis. In: DeGroot L.J., Larsen P.R., Hennemann G. (Eds.), The thyroid and its diseases, ed. 6. Churchill Livingstone, New York, 1996, pp. 706–707.
Marin F., Araujo R., Paramo C., Lucas T., Salto L. Riedel’s thyroiditis associated with hypothyroidism and hypoparathyroidism. Postgrad. Med. J. 65: 381–383, 1989.
Marchesi M., Biffoni M., Mastropietro T., Millarelli M., Marzullo A., Campana F.P. Riedel’s thyroiditis: a case report and review of the literature. G. Chir. 18: 11-12, 820–822, 1997.
Barsano C.P. Other forms of primary hypothyroidism. In: Braverman L.E. Utiger R.D. (Eds.), Werner and Ingbar’s The Thyroid, ed. 7. Lippincott-Raven Publishers, Philadelphia, 1996, p. 768.
Ross D.S. Riedel’s thyroiditis associated with Hashimoto’s thyroiditis. J. Endocrinol. Invest. 15: 479, 1992.
LiVolsi V.A. Pathology. In: Braverman L.E. Utiger R.D. (Eds.), Werner and Ingbar’s The Thyroid, ed. 7. Lippincott-Raven Publishers, Philadelphia, 1996, pp. 501–502.
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Kabalak, T., Ozgen, A.G., Günel, O. et al. Occurrence of Riedel’s Thyroiditis in the course of sub-acute thyroiditis. J Endocrinol Invest 23, 399–401 (2000). https://doi.org/10.1007/BF03343744
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DOI: https://doi.org/10.1007/BF03343744