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{{Infobox_Disease |
__NOTOC__
  Name          = {{PAGENAME}} |
{{Riedel's thyroiditis}}
  Image          = |
'''For patient information, click [[Riedel's thyroiditis (patient information)|here]]'''
  Caption        = |
  DiseasesDB    = 11590 |
  ICD10          = {{ICD10|E|06|5|e|00}} |
  ICD9          = {{ICD9|245.3}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = |
  eMedicineSubj  = med |
  eMedicineTopic = 2036 |
  MeshID        = |
}}
'''Riedel's thyroiditis''', also called '''Riedel's struma''' is a chronic form of [[thyroiditis]].


==Pathophysiology==
{{CMG}}; {{AE}} {{MMF}}
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>
{{SK}} Riedel's struma; Invasive fibrous thyroiditis; Fibrous thyroiditis


==Prevalence==
==[[Riedel's thyroiditis overview|Overview]]==
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 most seen in women.<ref name=emedicine>[http://www.emedicine.com/med/topic2036.htm eMedicine]</ref>


==Treatment==
==[[Riedel's thyroiditis historical perspective|Historical Perspective]]==
[[Tamoxifen]] has been proposed as part of a treatment plan.<ref name="pmid12698518">{{cite journal |author=Dabelic N, Jukic T, Labar Z, Novosel SA, Matesa N, Kusic Z |title=Riedel's thyroiditis treated with tamoxifen |journal=Croat. Med. J. |volume=44 |issue=2 |pages=239–41 |year=2003 |month=April |pmid=12698518 |doi= |url=http://www.cmj.hr/2003/44/2/12698518.pdf|format=PDF}}</ref>
 
==[[Riedel's thyroiditis classification|Classification]]==
 
==[[Riedel's thyroiditis pathophysiology|Pathophysiology]]==
 
==[[Riedel's thyroiditis causes|Causes]]==
 
==[[Riedel's thyroiditis differential diagnosis|Differentiating Riedel's thyroiditis  from other Diseases]]==
 
==[[Riedel's thyroiditis epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Riedel's thyroiditis risk factors|Risk Factors]]==
 
==[[Riedel's thyroiditis screening|Screening]]==


==Eponym==
==[[Riedel's thyroiditis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
It is named for Bernhard Riedel. He first recognized the disease In 1883 and published its description in 1896.<ref>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.</ref><ref>{{WhoNamedIt|synd|3242}}</ref>


==References==
==Diagnosis==
{{reflist|2}}
[[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 Electrocardiogram|Electrocardiogram]] | [[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]]


{{Endocrine pathology}}
==Case Studies==
{{SIB}}   
[[Riedel's thyroiditis case study one|Case #1]]




[[de:Riedel-Struma]]
[[Category:Medicine]]
[[it:Tiroidite di Riedel]]
[[Category:Endocrinology]]
[[pl:Zapalenie gruczołu tarczowego Riedla]]
[[Category:Up-To-Date]]
[[Category:Primary care]]





Revision as of 16:27, 18 October 2017

Riedel's thyroiditis Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Riedel's thyroiditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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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; Invasive fibrous thyroiditis; Fibrous thyroiditis

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Riedel's thyroiditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | 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

Case #1




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