Barnes P, Weatherstone R
Br J Dis Chest. 1979 Apr;73(2):187-91.
Tuberculosis of the thyroid gland occurs only rarely. Since extrapulmonary tuberculosis is now seen relatively more frequently the existence of this condition should be recognized. The cases of two patients with tuberculosis involving the thyroid are presented. The first, an Asian immigrant, presented with a painless goitre with no evidence of tuberculosis elsewhere. The second was an English woman who presented with hypothyroidism due to destruction of the thyroid by tuberculosis, and who subsequently died with disseminated tuberculosis; this is the only case to report the association between myxoedema and tuberculous thyroiditis. Other manifestations of thyroid tuberculosis and the pathological types are discussed.
甲状腺结核极为罕见。鉴于目前肺外结核相对更为常见，应认识到这种疾病的存在。本文报告了两例甲状腺结核患者的病例。第一例是一名亚洲移民，表现为无痛性甲状腺肿，身体其他部位无结核病证据。第二例是一名英国女性，因甲状腺被结核破坏而出现甲状腺功能减退，随后死于播散性结核病；这是唯一一例报告黏液性水肿与结核性甲状腺炎关联的病例。文中还讨论了甲状腺结核的其他表现及病理类型。
