Kuchynková Zdenka, Soukup Jan
Department of Otorhinolaryngology, Head and Neck Surgery, the 1st Medical Faculty of the Charles University, Postgraduate Medical School, Prague, Czech Republic.
Neuro Endocrinol Lett. 2000;21(5):417-420.
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 confirmed 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 five 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 fibrosis. She was put on prednison 5 mg daily. CONCLUSIONS: Riedel's thyroiditis can be looked upon as a cervical fibrosis of unknown etiology affecting the thyroid. In our case it was combined with signs of giant cell arteritis.
作者描述了1例里德尔甲状腺炎病例，这是一种累及甲状腺的相对罕见的疾病。结果：一名38岁女性在因怀疑恶性肿瘤而进行的手术中，通过冰冻切片检查被诊断为里德尔甲状腺炎。组织病理学检查证实了里德尔甲状腺炎的诊断，并伴有巨细胞动脉炎的迹象。甲状腺半切术后，患者出现了5天的喉返神经麻痹，术后3个月出现甲状腺功能减退和甲状旁腺功能减退的症状。甲状腺过氧化物酶抗体滴度较高。患者没有压迫症状，没有全身免疫病理学迹象，也没有颈外纤维化迹象。她开始每日服用5毫克泼尼松。结论：里德尔甲状腺炎可被视为一种病因不明的影响甲状腺的颈部纤维化。在我们的病例中，它与巨细胞动脉炎的迹象相关。
