Riedel's thyroiditis: Difference between revisions

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{{Riedel's thyroiditis}}
{{Riedel's thyroiditis}}
'''For patient information, click [[Xyz (patient information)|here]]'''
'''For patient information, click [[Riedel's thyroiditis (patient information)|here]]'''


{{CMG}}; {{AE}} {{MMF}}
{{CMG}}; {{AE}} {{MMF}}


{{SK}}: Riedel's struma
{{SK}} Riedel's struma; Invasive fibrous thyroiditis; Fibrous thyroiditis


==[[Riedel's thyroiditis overview|Overview]]==
==[[Riedel's thyroiditis overview|Overview]]==
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==[[Riedel's thyroiditis pathophysiology|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.
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 causes|Causes]]==


==[[Riedel's thyroiditis differential diagnosis|Differentiating Xyz from other Diseases]]==
==[[Riedel's thyroiditis differential diagnosis|Differentiating Riedel's thyroiditis from other Diseases]]==


==[[Riedel's thyroiditis epidemiology and demographics|Epidemiology and Demographics]]==
==[[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 risk factors|Risk Factors]]==


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==Diagnosis==
==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]]
[[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==
==Treatment==
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==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.<ref name=emedicine>[http://www.emedicine.com/med/topic2036.htm eMedicine]</ref>
 
==Treatment==
[[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>
 
==Eponym==
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==
{{reflist|2}}
 
 
{{Endocrine pathology}}
   
 
 
[[de:Riedel-Struma]]
[[it:Tiroidite di Riedel]]
[[pl:Zapalenie gruczołu tarczowego Riedla]]
 
 
 
 
 
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Latest revision as of 00:01, 30 July 2020

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

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History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

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MRI

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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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