Lemerre D, Caron F, Delval O, Goujon J M, Hira M, Meurice J C, Patte F
Service de Pneumologie, CHU Poitiers.
Rev Pneumol Clin. 1999 Dec;55(6):393-6.
Sarcoidosis is a systemic disease with many localizations. Thyroid involvement has been often described but rarely confirmed histologically. A common immune mechanism appears to be the cause. Thyroid sarcoidosis should be envisaged in patients with a thyroid nodule and mediastino-pulmonary involvement. We report the case of a 63-year-old woman with no past history who was hospitalized for dyspnea. Explorations evidenced a cold thyroid nodule associated with diffuse interstitial lung disease and mediastinal node enlargement. Pathology examination disclosed the sarcoid nature of the thyroid nodule and the lung lesions.
结节病是一种有多种局部表现的全身性疾病。甲状腺受累情况常有描述，但经组织学证实的却很少。一种常见的免疫机制似乎是其病因。对于有甲状腺结节且伴有纵隔-肺部受累的患者，应考虑甲状腺结节病。我们报告一例63岁无既往病史的女性患者，因呼吸困难入院。检查发现一个冷性甲状腺结节，伴有弥漫性间质性肺病和纵隔淋巴结肿大。病理检查揭示了甲状腺结节和肺部病变的结节病性质。
