REIDEL THYROIDITIS
Which of the following is true about Reidel’s thyroiditis
| A |
Fibrosis involves the thyroid and surrounding neck structures |
|
| B |
Patient presents with hard fixed thyroid mass |
|
| C |
It may be associated with retroperitoneal fibrosis |
|
| D |
All the above |
Which of the following is true about Reidel’s thyroiditis
| A |
Fibrosis involves the thyroid and surrounding neck structures |
|
| B |
Patient presents with hard fixed thyroid mass |
|
| C |
It may be associated with retroperitoneal fibrosis |
|
| D |
All the above |
Answer- D. All the above
- A rare disorder characterized by extensive fibrosis involving the thyroid and contiguous neck structures.
- The presence of a hard and fixed thyroid mass clinically simulates a thyroid carcinoma.
- It may be associated with fibrosis in other sites in the bodn such as the retroperitoneum, and appears to be another manifestation of a systemic autoimmune IgG4-related disease, which is associated with fibrosis and tissue infiltration by plasma cells producing IgG4.
Features of Reidel thyroiditis are:
| A |
Presents as a goitre |
|
| B |
Painful |
|
| C |
Associated with IgG4 related systemic diseases |
|
| D |
Fibrosis of interstitial thyroid stroma |
Features of Reidel thyroiditis are:
| A |
Presents as a goitre |
|
| B |
Painful |
|
| C |
Associated with IgG4 related systemic diseases |
|
| D |
Fibrosis of interstitial thyroid stroma |
Answer- (A) Presents as a goitre (C) Associated with IgG4 related systemic diseases (D) Fibrosis of interstitial thyroid stroma
It is a rare disorder that typically occurs in middle-aged women.
It presents with an insidious, painless goiter wilh local symptoms due to compression of the esophagus, trachea, neck veins, or recurrent laryngeal nerves.
Dense fibrosis disrupts normal gland architecture.
Thyroid dysfunction is uncommon.
Treatment is directed to surgical relief of compressive symptoms.
Tamoxifen may also be beneficial
