Chopra D, Wool M S, Crosson A, Sawin C T
J Clin Endocrinol Metab. 1978 Jun;46(6):869-71. doi: 10.1210/jcem-46-6-869.
Riedel's struma with dense fibrous invasion of surrounding muscle and fat was found in a patient who had clinical subacute thyroiditis superimposed on primary hypothyroidism. Riedel's struma may sometimes be an uncommon stage in the more common subacute form of thyroiditis, although in our patient an unusual coincidence of subacute thyroiditis and Riedel's struma is also possible. Of interest in our patient was the development of spontaneous primary hypoparathyroidism; parathyroid function returned to normal concomitant with the spontaneous resolution of the goiter after partial resection. This patient also represents another instance of hyperthyroidism developing in a previously hypothyroid patient.
在一名患有原发性甲状腺功能减退症合并临床亚急性甲状腺炎的患者中发现了里德尔甲状腺肿，其周围肌肉和脂肪有致密的纤维浸润。里德尔甲状腺肿有时可能是较常见的亚急性甲状腺炎形式中一个不常见的阶段，尽管在我们的患者中，亚急性甲状腺炎与里德尔甲状腺肿的异常巧合也是可能的。我们患者中有趣的是自发性原发性甲状旁腺功能减退症的发生；甲状旁腺功能在部分切除术后甲状腺肿自发消退的同时恢复正常。该患者也是一名先前甲状腺功能减退的患者发生甲状腺功能亢进的另一实例。
