Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)
https://doi.org/10.21518/2079-701X-2021-7-166-171
Abstract
Riedel's thyroiditis is a rare disease characterized by chronic fibrosis. Clinical performance of this disease is dense stony goiter, which can poorly be displaced during palpation. The overgrowth of the goiter can lead to the development of compression syndrome. To diagnose we need to made fine needle biopsy and made the final diagnose according to its results or according to the morphological description of the postoperative material. An important step in the diagnosis of Riedel's thyroiditis is the determination of serum IgG and IgG4 to exclude an IgG4-associated disease. Treatment of this disease includes drug therapy, which is based on glucocorticosteroids administration or surgical treatment when develops compression syndrome. This article presents a clinical case of a patient with Riedel's thyroiditis; the main complaints were associated with the growth of goiter and the development of compression syndrome. In this regard, patient underwent surgery on the thyroid gland, and after this we get final diagnose. Due to feeling unwell, drug therapy with glucocorticosteroids was prescribed, against the background of which we noted a positive trend.
About the Authors
A. A. Rybakova
National Medical Research Center for Endocrinology
Russian Federation
Russian Federation
Anastasia A. Rybakova - Endocrinologist of the Department of Therapeutic Endocrinology, National Medical Research Center for Endocrinology.
11, Dmitry Ulyanov St., Moscow, 117036.
N. M. Platonova
National Medical Research Center for Endocrinology
Russian Federation
Russian Federation
Nadezhda M. Platonova - Dr. Sci. (Med.), Head of the Department of Therapeutic Endocrinology, National Medical Research Center for Endocrinology.
11, Dmitry Ulyanov St., Moscow, 117036.
T. V. Soldatova
National Medical Research Center for Endocrinology
Russian Federation
Russian Federation
Tatiana V. Soldatova - Cand. Sci. (Med.), Head of the Ultrasound Department, National Medical Research Center for Endocrinology.
11, Dmitry Ulyanov St., Moscow, 117036.
N. V. Tarbaeva
National Medical Research Center for Endocrinology
Russian Federation
Russian Federation
Natalia V. Tarbaeva - Cand. Sci. (Med.), Head of the Department of Computer and Magnetic Resonance Imaging, National Medical Research Center for Endocrinology.
11, Dmitry Ulyanov St., Moscow, 117036.
T. S. Panevin
Nasonova Research Institute of Rheumatology
Russian Federation
Russian Federation
Taras S. Panevin - Doctor, Nasonova Research Institute of Rheumatology.
34а, Kashirskoe Shosse, Moscow, 115522.
E. A. Troshina
National Medical Research Center for Endocrinology
Russian Federation
Russian Federation
Ekaterina A. Troshina - Corresponding Member of RAS, Dr. Sci. (Med.), Professor, Deputy Director of the Center - Director of the Institute of Clinical Endocrinology, National Medical Research Center for Endocrinology.
11, Dmitry Ulyanov St., Moscow, 117036.
References
1. Papi G., Corrado S., Cesinaro A.M., Novelli L., Smerieri A., Carapezzi C. Riedel's thyroiditis: clinical, pathological and imaging features. Int J Clin Pract. 2002;56(1):65-67. Available at: https://pubmed.ncbi.nlm.nih.gov/11831840/.
2. Hay I.D. Thyroiditis: a clinical update. Mayo Clin Proc. 1985;60(12):836-843. doi: 10.1016/S0025-6196(12)64789-2.
3. Hennessey J.V. Riedel's Thyroiditis: A Clinical Review. JCEM. 2011;96(10): 3031-3041. doi: 10.1210/jc.2011-0617.
4. Heufelder A.E., Hay I.D. Evidence for autoimmune mechanisms in the evolution of invasive fibrous thyroiditis (Riedel's struma). Clin Investig. 1994;72(10):788-793. doi: 10.1007/BF00180548.
5. Gosi S.K.Y., Nguyen M., Garla V.V. Riedel Thyroiditis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. Available at: https://pubmed.ncbi.nlm.nih.gov/30725988/.
6. Ozgen A., Cila A. Riedel's thyroiditis in multifocal fibrosclerosis: CT and MR imaging findings. AJNR Am J Neuroradiol. 2000;21(2):320-321. Available at: https://pubmed.ncbi.nlm.nih.gov/10696016.
7. Perez Fontan FJ., Cordido Carballido F., Pombo Felipe F., Mosquera Oses J., Villalba Martin C. Riedel thyroiditis: US, CT, and MR evaluation. J Comput Assist Tomogr. 1993;17:324-325. Available at: https://pubmed.ncbi.nlm.nih.gov/8454764.
8. Mansberg R., Bency R., Shen L., Bui C., Park K. Riedel's Thyroiditis with Intense FDG Uptake Demonstrated on FDG PET/CT. Mol Imaging Radionucl Ther. 2015;24(1):29-31. doi: 10.4274/mirt.98598.
9. Kotilainen P., Airas L., Kojo T., Kurki T., Kataja K., Minn H., Nuutila P. Positron emission tomography as an aid in the diagnosis and follow-up of Riedel's thyroiditis. Eur J Intern Med. 2004;15(3):186-189. doi: 10.1016/j.ejim.2004.03.002.
10. Slman R., Monpeyssen H., Desarnaud S., Haroche J., Fediaevsky Ldu P., Fabrice M. et al. Ultrasound, elastography, and fluorodeoxyglucose positron emission tomography/computed tomography imaging in Riedel's thyroiditis: report of two cases. Thyroid. 2011;21(7):799-804. doi: 10.1089/thy.2010.0242.
11. Papi G., LiVolsi V.A. Current concepts on Riedel thyroiditis. Am J Clin Pathol. 2004;121(1 Suppl.):S50-S63. doi: 10.1309/NUU88VAFR9YEHKNA.
12. Falhammar H., Juhlin C.C., Barner C., Catrina S.B., Karefylakis C., Calissendorff J. Riedel's thyroiditis: clinical presentation, treatment and outcomes. Endocrine. 2018;60(1):185-192. doi: 10.1007/s12020-018-1526-3.
13. Fatourechi M.M., Hay I.D., McIver B., Sebo T.J., Fatourechi V. Invasive fibrous thyroiditis (Riedel thyroiditis): the Mayo Clinic experience, 1976-2008. Thyroid. 2011;21(7):765-772. doi: 10.1089/thy.2010.0453.
14. Vaidya B., Harris P.E., Barrett P., Kendall-Taylor P. Corticosteroid therapy in Riedel's thyroiditis. Postgrad Med J. 1997;73(866):817-819. doi: 10.1136/pgmj.73.866.817.
15. Few J., Thompson N.W., Angelos P., Simeone D., Giordano T., Reeve T. Riedel's thyroiditis: treatment with tamoxifen. Surgery. 1996;120(6):993-998. doi: 10.1016/s0039-6060(96)80045-6.
16. Colletta A.A., Wakefield L.M., Howell F.V., van Roozendaal K.E., Danielpour D., Ebbs S.R. et al. Anti-oestrogens induce the secretion of active transforming growth factor p from human fetal fibroblasts. Br J Cancer. 1990;62:405-409. doi: 10.1038/bjc.1990.307.
17. Levy J.M., Hasney C.P., Friedlander P.L., Kandil E., Occhipinti E.A., Kahn M.J. Combined mycophenolate mofetil and prednisone therapy in tamoxifen-and prednisone-resistant Reidel's thyroiditis. Thyroid. 2010;20(1):105-107. doi: 10.1089/thy.2009.0324.
Review
For citations:
Rybakova AA, Platonova NM, Soldatova TV, Tarbaeva NV, Panevin TS, Troshina EA. Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review). Meditsinskiy sovet = Medical Council. 2021;(7):166-171. (In Russ.) https://doi.org/10.21518/2079-701X-2021-7-166-171
Views:
2709
Email this article 