Angel M, Cano J F, del Olmo A, Rives A, Balcells A
Med Clin (Barc). 1979 May 10;72(9):384-7.
The case of an association of three well-differentiated pathologies is reported. A 40-year-old woman with a toxic thyroid adenoma developed acute polyarthritis during the course of the disease. The articular symptoms together with chest X-rays and a consistently negative PPD (1:100) were suggestive of sarcoidosis. This was later confirmed by the discovery of non-caseating granulomas in the liver and superficial lymph nodes, and by a positive Kveim's test. Histopathologic examination of the thyroid gland confirmed the existence of the adenoma. Sarcoid infiltration was not observed, but on the other hand the typical images of subacute granulomatous thyroiditis (De Quervain's thyroiditis) were discovered.
报告了一例三种高分化病变并存的病例。一名患有毒性甲状腺腺瘤的40岁女性在病程中出现了急性多关节炎。关节症状、胸部X光检查以及持续阴性的结核菌素试验（1:100）提示为结节病。后来通过在肝脏和浅表淋巴结中发现非干酪样肉芽肿以及Kveim试验呈阳性得以证实。甲状腺的组织病理学检查证实了腺瘤的存在。未观察到结节病浸润，但另一方面发现了亚急性肉芽肿性甲状腺炎（德·奎尔万甲状腺炎）的典型图像。
