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Updated: Mar 6 2018

Riedel Thyroiditis

  • Introduction
    • Thyroid tissue replaced by fibrous tissue
      • can result in hypothyroidism
      • histologically characterized by a dense fibroinflammatory infiltrate
      • etiology unknown
        • thought to be a manifestation of a systemic, fibroinflammatory disease
  • Presentation
    • Physical exam
      • presents with fixed, hard goiter
      • painless on palpation
  • Treatment
    • Medical
      • corticosteroids
      • tamoxifen
  • Prognosis, Prevention, and Comlications
    • Fibrosis may extend to locally to the trachea, parathyroid glands, and mediastinum
      • may result in obstruction, dyspnea, hoarseness and hypoparathyroidism
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