Riedel's thyroiditis: Difference between revisions
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{{Riedel's thyroiditis}} | {{Riedel's thyroiditis}} | ||
'''For patient information, click [[Xyz (patient information)|here]]''' | |||
{{CMG}}; {{AE}} {{MMF}} | {{CMG}}; {{AE}} {{MMF}} | ||
{{SK}}: Riedel's struma | |||
==[[Riedel's thyroiditis overview|Overview]]== | |||
'''Riedel's thyroiditis''', also called '''Riedel's struma''' is a chronic form of [[thyroiditis]]. | |||
==[[Riedel's thyroiditis historical perspective|Historical Perspective]]== | |||
==[[Riedel's thyroiditis classification|Classification]]== | |||
==Pathophysiology== | ==[[Riedel's thyroiditis pathophysiology|Pathophysiology]]== | ||
Riedel's thyroiditis is characterized by a replacement of the normal thyroid parenchyma by a dense [[fibrosis]] that invades adjacent structures of the neck and extends beyond the thyroid capsule.<ref name="pmid17603227">{{cite journal |author=Cho MH, Kim CS, Park JS, ''et al'' |title=Riedel's thyroiditis in a patient with recurrent subacute thyroiditis: a case report and review of the literature |journal=Endocr. J. |volume=54 |issue=4 |pages=559–62 |year=2007 |month=August |pmid=17603227 |doi= |url=http://joi.jlc.jst.go.jp/JST.JSTAGE/endocrj/K06-186?from=PubMed}}</ref> This makes the thyroid gland stone-hard and fixed to adjacent structures. | Riedel's thyroiditis is characterized by a replacement of the normal thyroid parenchyma by a dense [[fibrosis]] that invades adjacent structures of the neck and extends beyond the thyroid capsule.<ref name="pmid17603227">{{cite journal |author=Cho MH, Kim CS, Park JS, ''et al'' |title=Riedel's thyroiditis in a patient with recurrent subacute thyroiditis: a case report and review of the literature |journal=Endocr. J. |volume=54 |issue=4 |pages=559–62 |year=2007 |month=August |pmid=17603227 |doi= |url=http://joi.jlc.jst.go.jp/JST.JSTAGE/endocrj/K06-186?from=PubMed}}</ref> This makes the thyroid gland stone-hard and fixed to adjacent structures. | ||
A shared mechanism with [[retroperitoneal fibrosis]] and [[sclerosing cholangitis]] has been suggested.<ref name="pmid8504980">{{cite journal |author=De Boer WA |title=Riedel's thyroiditis, retroperitoneal fibrosis, and sclerosing cholangitis: diseases with one pathogenesis? |journal=Gut |volume=34 |issue=5 |pages=714 |year=1993 |month=May |pmid=8504980 |pmc=1374200 |doi= |url=http://gut.bmj.com/cgi/pmidlookup?view=long&pmid=8504980}}</ref> | |||
==[[Riedel's thyroiditis causes|Causes]]== | |||
==[[Riedel's thyroiditis differential diagnosis|Differentiating Xyz from other Diseases]]== | |||
==[[Riedel's thyroiditis epidemiology and demographics|Epidemiology and Demographics]]== | |||
Riedel's thyroiditis is classified as rare. Most patients remain euthyroid, but approximately 30% of patients become hypothyroid and very few patients are hyperthyroid. It is mostly seen in women.<ref name=emedicine>[http://www.emedicine.com/med/topic2036.htm eMedicine]</ref> | |||
==[[Riedel's thyroiditis risk factors|Risk Factors]]== | |||
==[[Riedel's thyroiditis screening|Screening]]== | |||
==[[Riedel's thyroiditis natural history, complications and prognosis|Natural History, Complications and Prognosis]]== | |||
==Diagnosis== | |||
[[Riedel's thyroiditis history and symptoms|History and Symptoms]] | [[Riedel's thyroiditis physical examination|Physical Examination]] | [[Riedel's thyroiditis laboratory findings|Laboratory Findings]] | [[Riedel's thyroiditis x ray|X-Ray Findings]] | [[Riedel's thyroiditis echocardiography and ultrasound|Echocardiography and Ultrasound]] | [[Riedel's thyroiditis CT scan|CT-Scan Findings]] | [[Riedel's thyroiditis MRI|MRI Findings]] | [[Riedel's thyroiditis other diagnostic studies|Other Diagnostic Studies]] | [[Riedel's thyroiditis other imaging findings|Other Imaging Findings]] | |||
==Treatment== | |||
[[Riedel's thyroiditis medical therapy|Medical Therapy]] | [[Riedel's thyroiditis surgery|Surgery]] | [[Riedel's thyroiditis primary prevention|Primary Prevention]] | [[Riedel's thyroiditis secondary prevention|Secondary Prevention]] | [[Riedel's thyroiditis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Riedel's thyroiditis future or investigational therapies|Future or Investigational Therapies]] | |||
==Case Studies== | |||
[[Riedel's thyroiditis case study one|Case #1]] | |||
==Pathophysiology== | |||
==Prevalence== | ==Prevalence== | ||
Riedel's thyroiditis is classified as rare. Most patients remain euthyroid, but approximately 30% of patients become hypothyroid and very few patients are hyperthyroid. It is | Riedel's thyroiditis is classified as rare. Most patients remain euthyroid, but approximately 30% of patients become hypothyroid and very few patients are hyperthyroid. It is mostly seen in women.<ref name=emedicine>[http://www.emedicine.com/med/topic2036.htm eMedicine]</ref> | ||
==Treatment== | ==Treatment== |
Revision as of 20:25, 9 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Synonyms and keywords:: Riedel's struma
Overview
Riedel's thyroiditis, also called Riedel's struma is a chronic form of thyroiditis.
Historical Perspective
Classification
Pathophysiology
Riedel's thyroiditis is characterized by a replacement of the normal thyroid parenchyma by a dense fibrosis that invades adjacent structures of the neck and extends beyond the thyroid capsule.[1] This makes the thyroid gland stone-hard and fixed to adjacent structures. A shared mechanism with retroperitoneal fibrosis and sclerosing cholangitis has been suggested.[2]
Causes
Differentiating Xyz from other Diseases
Epidemiology and Demographics
Riedel's thyroiditis is classified as rare. Most patients remain euthyroid, but approximately 30% of patients become hypothyroid and very few patients are hyperthyroid. It is mostly seen in women.[3]
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms | Physical Examination | Laboratory Findings | X-Ray Findings | Echocardiography and Ultrasound | CT-Scan Findings | MRI Findings | Other Diagnostic Studies | Other Imaging Findings
Treatment
Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies
Case Studies
Pathophysiology
Prevalence
Riedel's thyroiditis is classified as rare. Most patients remain euthyroid, but approximately 30% of patients become hypothyroid and very few patients are hyperthyroid. It is mostly seen in women.[3]
Treatment
Tamoxifen has been proposed as part of a treatment plan.[4]
Eponym
It is named for Bernhard Riedel. He first recognized the disease In 1883 and published its description in 1896.[5][6]
References
- ↑ Cho MH, Kim CS, Park JS; et al. (2007). "Riedel's thyroiditis in a patient with recurrent subacute thyroiditis: a case report and review of the literature". Endocr. J. 54 (4): 559–62. PMID 17603227. Unknown parameter
|month=
ignored (help) - ↑ De Boer WA (1993). "Riedel's thyroiditis, retroperitoneal fibrosis, and sclerosing cholangitis: diseases with one pathogenesis?". Gut. 34 (5): 714. PMC 1374200. PMID 8504980. Unknown parameter
|month=
ignored (help) - ↑ 3.0 3.1 eMedicine
- ↑ Dabelic N, Jukic T, Labar Z, Novosel SA, Matesa N, Kusic Z (2003). "Riedel's thyroiditis treated with tamoxifen" (PDF). Croat. Med. J. 44 (2): 239–41. PMID 12698518. Unknown parameter
|month=
ignored (help) - ↑ B. M. C. L. Riedel. Die chronische, zur Bildung eisenharter Tumoren führende Entzündung der Schilddrüse. Verhandlungen der deutschen Gesellschaft für Chirurgie, 1896, 25: 101-105.
- ↑ Template:WhoNamedIt
de:Riedel-Struma it:Tiroidite di Riedel