Systemic Sarcoidosis with Thyroid Involvement

被引：12

作者：

Okuma, Hideyuki ^{[1
,2
]}

Hashimoto, Koshi ^{[2
,3
]}

Wang, Xin ^{[1
]}

Ohkiba, Noriaki ^{[1
]}

Murooka, Nozomi ^{[1
]}

Akizuki, Norikazu ^{[4
]}

Inazawa, Takeshi ^{[1
]}

Ogawa, Yoshihiro ^{[2
]}

机构：

[1] Kashiwa City Kashiwa Hosp, Dept Endocrinol & Metab, Kashiwa, Chiba, Japan

[2] Tokyo Med & Dent Univ, Dept Mol Endocrinol & Metab, Tokyo, Japan

[3] Tokyo Med & Dent Univ, Dept Preempt Med & Metab, Tokyo, Japan

[4] Kashiwa City Kashiwa Hosp, Dept Resp Med, Kashiwa, Chiba, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 16期

关键词：

thyroid sarcoidosis; thyroid needle biopsy; ENDOCRINE; AUTOPSY;

D O I：

10.2169/internalmedicine.8324-16

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 66-year-old woman, who was diagnosed with iritis, visited our hospital due to general malaise. A blood analysis revealed hypercalcemia. Computed tomography revealed mediastinal and hilar lymph node hyperplasia. Moreover, (67)Gallium scintigraphy demonstrated strong accumulation in the lesions, suggesting sarcoidosis. A core needle biopsy (CNB) of the hypoechoic areas of the thyroid was performed because the patient refused to undergo a bronchoscopic examination. The scattering of slightly acidophilic epithelioid cell granulomas was observed in the pathological examination of the biopsy specimen. Based on this finding, the patient was diagnosed with sarcoidosis. Although sarcoidosis rarely involves the thyroid gland, in the present case, thyroid CNB was an alternative diagnostic method that allowed a pathological diagnosis to be obtained.

引用

页码：2181 / 2186

页数：6

共 22 条

[1]

[Anonymous], 2015, DIAGNOSIS CRITERIA G

[2] Clinical characteristics of patients in a case control study of sarcoidosis [J].

Baughman, RP ;

Teirstein, AS ;

Judson, MA ;

Rossman, MD ;

Yeager, H ;

Bresnitz, EA ;

DePalo, L ;

Hunninghake, G ;

Iannuzzi, MC ;

Johns, CJ ;

McLennan, G ;

Moller, DR ;

Newman, LS ;

Rabin, DL ;

Rose, C ;

Rybicki, B ;

Weinberger, SE ;

Terrin, ML ;

Knatterud, GL ;

Cherniak, R .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 164 (10) :1885-1889

[3]

BRUN J, 1959, Lyon Med, V91, P179

[4]

Date T, 1995, Nihon Naika Gakkai Zasshi, V84, P1742

[5]

Harach H R, 1990, Sarcoidosis, V7, P19

[6]

Hirayama M, 1986, NAIKA, V57, P191

[7]

Hunninghake GW, 1999, SARCOIDOSIS VASC DIF, V16, P149

[8]

IWAI K, 1993, ACTA PATHOL JAPON, V43, P377

[9]

Katayama S, 1984, NAIBUNPITSU GEKA, V1, P253

[10]

Kubo T, 1973, NAIKA, V32, P361

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