Beobachtungen K
MMW Munch Med Wochenschr. 1975 Mar 28;117(13):543-6.
Hashimoto's thyroiditis is a polymorphous syndrome. The diagnosis may be suspected clinically with a symmetrical firm goiter without nodes, which develops in a relatively short time (2-3 years on the average). Serological investigations show increased anti-thyroid antibodies. If the antibody titers are low, histological examination is necessary. If goiters with cold areas in the scintigram, biopsies must also be made. The significance of lymphatic tissue in the thyroid gland is still not clear, as yet no certain correlation between the number of antibody secreting cells in the thyroid gland (intra-thyroidal plasmocytes) and the level of anti-thyroid tissue antibodies has been found.
桥本甲状腺炎是一种多形性综合征。临床上，若出现无结节的对称性坚实甲状腺肿，且在相对较短时间内（平均2 - 3年）形成，即可怀疑为此病。血清学检查显示抗甲状腺抗体升高。若抗体滴度较低，则需进行组织学检查。若甲状腺闪烁图显示有冷区的甲状腺肿，也必须进行活检。甲状腺中淋巴组织的意义仍不明确，目前尚未发现甲状腺内抗体分泌细胞（甲状腺内浆细胞）数量与抗甲状腺组织抗体水平之间存在确切关联。
