Document Detail

An unusual form of Riedel's thyroiditis: a case report and review of the literature.
MedLine Citation:
PMID:  15687829     Owner:  NLM     Status:  MEDLINE    
We report the case of a 36-year old woman with a history of long-term fever associated with a biologic inflammatory syndrome that was not corrected by several courses of corticosteroid treatment. The only remarkable result during previous investigations was the presence of a positive Epstein-Barr virus (EBV) serology. Clinical examination revealed an heterogenous thyroid with a nodule on the right lobe. Serum thyrotropin (TSH) concentration was normal. The levels of antiperoxidase antibodies and thyrocalcitonin were normal. Ultrasound examination of the neck showed a 3-cm hypoechogenous nodule in the right lobe of the thyroid. A total thyroidectomy was performed. Histopathologic findings led to the diagnosis of Riedel's thyroiditis. We observed a dramatic improvement after surgery with absence of fever and normalization of inflammatory parameters. The role of EBV infection in the process of this unusual form of Riedel's thyroiditis is discussed.
S Fontaine; F Gaches; L Lamant; M Uzan; A Bennet; Ph Caron
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Thyroid : official journal of the American Thyroid Association     Volume:  15     ISSN:  1050-7256     ISO Abbreviation:  Thyroid     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-02     Completed Date:  2005-06-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9104317     Medline TA:  Thyroid     Country:  United States    
Other Details:
Languages:  eng     Pagination:  85-8     Citation Subset:  IM    
Department of Endocrinology, CHU Rangueil, Toulouse, France.
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MeSH Terms
Diagnosis, Differential
Diagnostic Techniques, Surgical
Epstein-Barr Virus Infections / complications
Rare Diseases / diagnosis*,  pathology,  surgery,  virology
Thyroid Gland / pathology
Thyroiditis / diagnosis*,  pathology,  surgery,  virology

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