FIBROUS INVASIVE (RIEDELS) THYROIDITIS WITH CRITICAL RESPONSE TO STEROID TREATMENT

被引:25
作者
BAGNASCO, M [1 ]
PASSALACQUA, G [1 ]
PRONZATO, C [1 ]
ALBANO, M [1 ]
TORRE, G [1 ]
SCORDAMAGLIA, A [1 ]
机构
[1] UNIV GENOA,CHIRURG CLIN R,I-16132 GENOA,ITALY
关键词
RIEDELS THYROIDITIS; FIBROSIS; CORTICOSTEROIDS;
D O I
10.1007/BF03347818
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Riedel's thyroiditis is an uncommon form of chronic thyroiditis characterized by an invasive fibrosclerosis of the gland, often involving the surrounding tissues. Usually, the only possible treatment is the surgical decompression of the tissues. We describe a case of aggressive Riedel's thyroiditis with severe compression and dislocation of thrachea and esophagus. The surgical approach was uneffective, while an ''ex juvantibus'' steroid treatment, resulted in a dramatic regression of fibrosclerosis and a complete clinical remission. This report points out the possible effectiveness of corticosteroids in the treatment of selective disorders involving increased fibrogenesis.
引用
收藏
页码:305 / 307
页数:3
相关论文
共 10 条
[1]   HASHIMOTOS THYROIDITIS - CLINICAL AND LABORATORY RESPONSE TO PROLONGED CORTISONE THERAPY [J].
BLIZZARD, RM ;
ACETO, T ;
HUNG, W ;
WINSHIP, T ;
KYLE, M ;
CHANDLER, RW .
NEW ENGLAND JOURNAL OF MEDICINE, 1962, 267 (20) :1015-&
[2]  
BRAVERMAN LE, 1991, WERNER INGBARS THYRO, P957
[3]  
DEGROOT L, 1989, J ENDOCRINOL, P697
[4]  
MCGEE BA, 1991, CLIN PHARMACY, V10, P14
[5]  
ROSKOWSKI RJ, 1981, ARCH BIOCHEM BIOPHYS, V210, P74
[6]  
SCHLEIMER RP, 1993, PHARMACOL S, V3
[7]   CRYPTOGENIC FIBROSING ALVEOLITIS - RESPONSE TO CORTICOSTEROID TREATMENT AND ITS EFFECT ON SURVIVAL [J].
TURNERWARWICK, M ;
BURROWS, B ;
JOHNSON, A .
THORAX, 1980, 35 (08) :593-599
[8]  
VANBOMMEL EFH, 1991, NETH J MED, V39, P338
[9]   GLUCOCORTICOIDS INHIBIT THE PRODUCTION OF IL-6 FROM MONOCYTES, ENDOTHELIAL-CELLS AND FIBROBLASTS [J].
WAAGE, A ;
SLUPPHAUG, G ;
SHALABY, R .
EUROPEAN JOURNAL OF IMMUNOLOGY, 1990, 20 (11) :2439-2443
[10]  
ZIMMERMANNBELSI.T, 1993, UGESKRIFT LAEGER, V155, P1121