Chraibi A, Msyah L, Laaribi O, Marrakchi A, Hafidi A
Service d'endocrinologie diabétologie et nutrition, CHU Ibn-Sina, Rabat, Maroc.
Ann Endocrinol (Paris). 2009 Mar;70(1):80-2. doi: 10.1016/j.ando.2007.10.002. Epub 2007 Dec 21.
Although amyloid infiltration of the thyroid gland is an uncommon but well-known phenomenon, the appearance of a goiter secondary to amyloid deposits is rare. The goiter enlarges rapidly and progressively, often becoming compressive like thyroid cancer. The diagnosis is rarely suggested clinically even in the presence of known amyloidosis. We describe the case of a 45-year-old patient who presented an amyloid goiter as the first manifestation of systemic amyloidosis, probably secondary to bronchiectasis.
尽管甲状腺的淀粉样变浸润是一种不常见但广为人知的现象,但继发于淀粉样沉积物的甲状腺肿却很罕见。甲状腺肿迅速且进行性增大,常变得像甲状腺癌一样具有压迫性。即使在已知存在淀粉样变性的情况下,临床上也很少能做出诊断。我们描述了一例45岁患者,其以淀粉样甲状腺肿作为系统性淀粉样变性的首发表现,可能继发于支气管扩张。