Updated: 3/6/2018

Riedel Thyroiditis

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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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