Approach to the patient with Riedel thyroiditis

VernacularTitle:Riedel甲状腺炎的临诊应对
Author: Li ZANG ; Zhigang TIAN ; Jingtao DOU ; Aijun LIU ; Guoqing YANG ; Nan JIN ; Weijun GU ; Jianming BA ; Zhaohui LYU ; Yiming MU
Publication Type:Journal Article
Keywords: Riedel thyroiditis; Fibration; Autoimmune disease
From: Chinese Journal of Endocrinology and Metabolism 2015;(8):725-728
CountryChina
Language:Chinese
Abstract: [Summary] Riedel thyroiditis is an extremely rare form of thyroiditis, the etiologic mechanism remains obscure. It often onsets insidiously and has non-specific clinical manifestations, most of the patients visit doctor because of goiter and clinical manifestation caused by involvement of the surrounding tissue and organs, histopathological examination is the gold standard for diagnosis. Riedel thyroiditis can be easily confused with the other common thyroiditis and thyroid malignant tumor due to lack of understanding of Riedel thyroiditis. Thyroid isthmus wedge resection is recommended if symptoms of oppression are obvious, glucocorticoid or tamoxifen treatment can be used after the operation if Riedel thyroiditis still progresses. Here we present a case of Riedel thyroiditis with diagnosis and treatment in order to call attention to the diagnosis and treatment of this disease.