Neck telangiectasia: A case with a twist
Telangiectasia represents a sign on the skin underlining multiple conditions, characterised by red/purple/blue thin lines caused by dilatation of capillaries/arterioles/venules. Similar lesions may be detected during a surgical procedure at the surface of a solid organ. Pathological conditions assoc...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2020-03-01
|
| Series: | Romanian Medical Journal |
| Subjects: | |
| Online Access: | https://rmj.com.ro/articles/2020.1/RMJ_2020_1_Art-17.pdf |
| _version_ | 1797333659538161664 |
|---|---|
| author | Florica Sandru Mihai Cristian Dumitrascu Ana Valea Anda Dumitrascu Mara Carsote |
| author_facet | Florica Sandru Mihai Cristian Dumitrascu Ana Valea Anda Dumitrascu Mara Carsote |
| author_sort | Florica Sandru |
| collection | DOAJ |
| description | Telangiectasia represents a sign on the skin underlining multiple conditions, characterised by red/purple/blue thin lines caused by dilatation of capillaries/arterioles/venules. Similar lesions may be detected during a surgical procedure at the surface of a solid organ. Pathological conditions associating the lesion are: dermatomyositis, scleroderma, lupus and the syndromes of ataxia-telangiectasia, respective hereditary hemorrhagic telangiectasia. We introduce a male case with anterior and lateral cervical enlargement with local skin changes of telangiectasia type. We introduce a male case with anterior and lateral cervical enlargement with local skin changes of telangiectasia type. The twist of the case is that, despite neck tegument red thin lines, the subject actually had a severe form of thyroid cancer. This is a case presentation. This is an 82-year old non-smoker male from non-endemic area admitted for rapidly enlargement of a tumor mass at neck in addition with local skin changes like telangiectasia and erythema as well as speech, eating and breathing intermittent disturbances. Thyroid function was normal. Thyroid ultrasound showed an enlargement of right lobe, of 3.7 by 4 by 7 cm (centimeter), mostly displayed by a macronodule with mix structure, of oval shape, with extension to isthmus, which is well shaped, of 5.7 by 4 by 5.2 cm. The data are highly suggestive for a thyroid cancer, thus the patient was further referred for total thyroidectomy. The changes of neck skin like telangiectasia and redness may exceptionally be caused by an aggressive thyroid cancer. |
| first_indexed | 2024-03-08T08:08:09Z |
| format | Article |
| id | doaj.art-11c46f026e09440981ba88f48f46aacb |
| institution | Directory Open Access Journal |
| issn | 1220-5478 2069-606X |
| language | English |
| last_indexed | 2024-03-08T08:08:09Z |
| publishDate | 2020-03-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Medical Journal |
| spelling | doaj.art-11c46f026e09440981ba88f48f46aacb2024-02-02T09:43:15ZengAmaltea Medical Publishing HouseRomanian Medical Journal1220-54782069-606X2020-03-01671909310.37897/RMJ.2020.1.17Neck telangiectasia: A case with a twistFlorica Sandru0Mihai Cristian Dumitrascu1Ana Valea2Anda Dumitrascu3Mara Carsote4“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Elias Emergency University Hospital, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Emergency University Hospital, Bucharest, RomaniaClinical County Hospital, Cluj-Napoca, Romania; “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania“C.I. Parhon” National Institute of Endocrinology, Bucharest, Romania“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “C.I. Parhon” National Institute of Endocrinology, Bucharest, RomaniaTelangiectasia represents a sign on the skin underlining multiple conditions, characterised by red/purple/blue thin lines caused by dilatation of capillaries/arterioles/venules. Similar lesions may be detected during a surgical procedure at the surface of a solid organ. Pathological conditions associating the lesion are: dermatomyositis, scleroderma, lupus and the syndromes of ataxia-telangiectasia, respective hereditary hemorrhagic telangiectasia. We introduce a male case with anterior and lateral cervical enlargement with local skin changes of telangiectasia type. We introduce a male case with anterior and lateral cervical enlargement with local skin changes of telangiectasia type. The twist of the case is that, despite neck tegument red thin lines, the subject actually had a severe form of thyroid cancer. This is a case presentation. This is an 82-year old non-smoker male from non-endemic area admitted for rapidly enlargement of a tumor mass at neck in addition with local skin changes like telangiectasia and erythema as well as speech, eating and breathing intermittent disturbances. Thyroid function was normal. Thyroid ultrasound showed an enlargement of right lobe, of 3.7 by 4 by 7 cm (centimeter), mostly displayed by a macronodule with mix structure, of oval shape, with extension to isthmus, which is well shaped, of 5.7 by 4 by 5.2 cm. The data are highly suggestive for a thyroid cancer, thus the patient was further referred for total thyroidectomy. The changes of neck skin like telangiectasia and redness may exceptionally be caused by an aggressive thyroid cancer.https://rmj.com.ro/articles/2020.1/RMJ_2020_1_Art-17.pdftelangiectasiathyroid cancerthyroid |
| spellingShingle | Florica Sandru Mihai Cristian Dumitrascu Ana Valea Anda Dumitrascu Mara Carsote Neck telangiectasia: A case with a twist Romanian Medical Journal telangiectasia thyroid cancer thyroid |
| title | Neck telangiectasia: A case with a twist |
| title_full | Neck telangiectasia: A case with a twist |
| title_fullStr | Neck telangiectasia: A case with a twist |
| title_full_unstemmed | Neck telangiectasia: A case with a twist |
| title_short | Neck telangiectasia: A case with a twist |
| title_sort | neck telangiectasia a case with a twist |
| topic | telangiectasia thyroid cancer thyroid |
| url | https://rmj.com.ro/articles/2020.1/RMJ_2020_1_Art-17.pdf |
| work_keys_str_mv | AT floricasandru necktelangiectasiaacasewithatwist AT mihaicristiandumitrascu necktelangiectasiaacasewithatwist AT anavalea necktelangiectasiaacasewithatwist AT andadumitrascu necktelangiectasiaacasewithatwist AT maracarsote necktelangiectasiaacasewithatwist |