Reidel’s Thyroiditis: A Case Report and Review of Literature

Keywords: Reidel’s thyroiditis, Fibroinflammatory Process, Immunotherapy

Abstract

Reidel’s thyroiditis (RT) is a very rare form of chronic thyroiditis associated with fibrosis of the thyroid gland, surrounding cervical tissue and also with other forms of systemic fibrosis. It has a very complex presentation including both local and various systemic and biochemical alterations, but because of its rare occurrence, it is very difficult to suspect and diagnose it. It should be evaluated in every patient with hard thyroid mass having compressive symptoms. High dose steroids followed by tamoxifen should be started early to prevent the ongoing fibrotic process. Here there was a case of Reidel’s thyroiditis in a 45 years old male patient who presented with a left-sided cervical mass with features of dysphagia and difficulty in breathing. This case highlights the difficulty in histological diagnosis and subsequent avoidance of aggressive surgery in this rare type of disease.

How to cite this article:
Sahoo AK. Reidel’s Thyroiditis: A Case Report and Review of Literature. J Adv Res Med. 2021;8(4):23-25.

DOI: https://doi.org/10.24321/2349.7181.202119

References

Zimmermann-Belsing T, Feldt-Rasmussen U. Riedel’s thyroiditis: an autoimmune or primary fibrotic disease?

J Intern Med. 1994 Mar;235(3):271-4. [PubMed] [Google Scholar]

Blanco VM, Páez CA, Victoria AM, Arango LG, Arrunategui AM, Escobar J, Martínez V, Guzmán GE.

Riedel’s thyroiditis: report of two cases and literature review. Case Rep Endocrinol. 2019;2019:5130106.

[PubMed] [Google Scholar]

Shafi AA, Saad NB, AlHarthi B. Riedel’s thyroiditis as a diagnostic dilemma - a case report and review of

the literature. Ann Med Surg. 2020;52:5-9. [PubMed] [Google Scholar]

Fatourechi MM, Hay ID, McIver B, Sebo TJ, Fatourechi V.Invasive fibrous thyroiditis (Riedel thyroiditis): the Mayo Clinic experience, 1976-2008. Thyroid. 2011;21(7):765-72. [PubMed] [Google Scholar]

Papi G, Corrado S, Cesinaro AM, Novelli L, Smerieri A, Carapezzi C. Riedel’s thyroiditis: clinical, pathological

and imaging features. Int J Clin Pract. 2002;56(1):65-7. [PubMed] [Google Scholar]

Hennessey JV. Riedel’s thyroiditis: a clinical review. J Clin Endocrinol Metab. 2011;96(10):3031-41. [PubMed]

[Google Scholar]

Kumar N, Gupta R, Sayed S, Moloo Z, Vinayak S, Ahmed M. Difficulties in the diagnosis of Riedel’s thyroiditis

on aspiration cytology: a case report and brief review of the literature. Diagn Cytopathol. 2019;47(5):512-6.

[PubMed] [Google Scholar]

Shahi N, Abdelhamid MF, Jindall M, Awad RW. Riedel’s thyroiditis masquerading as anaplastic thyroid

carcinoma: a case report. J Med Case Rep. 2010;4:15. [PubMed] [Google Scholar]

Hunt L, Harrison B, Bull M, Stephenson T, Allahabadia A. Rituximab: a novel treatment for refractory Riedel’s

thyroiditis. Endocrinol Diabetes Metab Case Rep. 2018;2018:17-0132. [PubMed] [Google Scholar]

Falhammar H, Juhlin CC, Barner C, Catrina SB, Karefylakis C, Calissendorff J. Riedel’s thyroiditis: clinical

presentation, treatment and outcomes. Endocrine. 2018;60(1):185-92. [PubMed] [Google Scholar]

Published
2022-03-24