Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)

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 fin...

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Main Authors: A. A. Rybakova, N. M. Platonova, T. V. Soldatova, N. V. Tarbaeva, T. S. Panevin, E. A. Troshina
Format: Article
Language:Russian
Published: Remedium Group LLC 2021-05-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/6151
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author A. A. Rybakova
N. M. Platonova
T. V. Soldatova
N. V. Tarbaeva
T. S. Panevin
E. A. Troshina
author_facet A. A. Rybakova
N. M. Platonova
T. V. Soldatova
N. V. Tarbaeva
T. S. Panevin
E. A. Troshina
author_sort A. A. Rybakova
collection DOAJ
description 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.
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spelling doaj.art-113555440b794356a9bb32f8ed0832412023-04-23T06:56:56ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902021-05-010716617110.21518/2079-701X-2021-7-166-1715581Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)A. A. Rybakova0N. M. Platonova1T. V. Soldatova2N. V. Tarbaeva3T. S. Panevin4E. A. Troshina5National Medical Research Center for EndocrinologyNational Medical Research Center for EndocrinologyNational Medical Research Center for EndocrinologyNational Medical Research Center for EndocrinologyNasonova Research Institute of RheumatologyNational Medical Research Center for EndocrinologyRiedel'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.https://www.med-sovet.pro/jour/article/view/6151riedel's thyroiditisthyroid glandglucocorticoidsfibrous thyroiditiscompression syndrome
spellingShingle A. A. Rybakova
N. M. Platonova
T. V. Soldatova
N. V. Tarbaeva
T. S. Panevin
E. A. Troshina
Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)
Медицинский совет
riedel's thyroiditis
thyroid gland
glucocorticoids
fibrous thyroiditis
compression syndrome
title Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)
title_full Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)
title_fullStr Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)
title_full_unstemmed Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)
title_short Riedel's thyroiditis: diagnostic difficulties (clinical case and brief review)
title_sort riedel s thyroiditis diagnostic difficulties clinical case and brief review
topic riedel's thyroiditis
thyroid gland
glucocorticoids
fibrous thyroiditis
compression syndrome
url https://www.med-sovet.pro/jour/article/view/6151
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AT tvsoldatova riedelsthyroiditisdiagnosticdifficultiesclinicalcaseandbriefreview
AT nvtarbaeva riedelsthyroiditisdiagnosticdifficultiesclinicalcaseandbriefreview
AT tspanevin riedelsthyroiditisdiagnosticdifficultiesclinicalcaseandbriefreview
AT eatroshina riedelsthyroiditisdiagnosticdifficultiesclinicalcaseandbriefreview