Riedel's thyroiditis differential diagnosis: Difference between revisions

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*30-60
*30-60
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*Dense fibrosis
*Dense [[fibrosis]]
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*[[Thyroid function tests|Normal TSH]] (euthyroidism)
*[[Thyroid function tests|Normal TSH]] ([[Euthyroid|euthyroidism]])
*[[Thyroid peroxidase|TPO antibodies]] usually present
*[[Thyroid peroxidase|TPO antibodies]] usually present
*[[I-123 thyroid imaging|I-123]] uptake decreased or normal  
*[[I-123 thyroid imaging|I-123]] uptake decreased or normal  
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*All ages, peak at 30-50
*All ages, peak at 30-50
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*Lymphocytic infiltration
*[[Lymphocytic]] infiltration
*Germinal centers
*[[Germinal centers]]
*Fibrosis (in some variants)
*[[Fibrosis]] (in some variants)
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*[[Thyroid function tests|Increased TSH]] (hypothyroidism)
*[[Thyroid function tests|Increased TSH]] ([[hypothyroidism]])
*[[Thyroid peroxidase|TPO antibodies]] present in high titer
*[[Thyroid peroxidase|TPO antibodies]] present in high titer
*[[I-123 thyroid imaging|I-123]] uptake usually decreased
*[[I-123 thyroid imaging|I-123]] uptake usually decreased
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*20-60
*20-60
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*Giant cells
*[[Giant cells]]
*Granulomas
*[[Granuloma|Granulomas]]
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*[[Thyroid function tests|Increased TSH]] (hypothyroidism) and/or
*[[Thyroid function tests|Increased TSH]] ([[hypothyroidism]]) and/or
* [[Thyroid function tests|Decreased TSH]] (Thyrotoxicosis)
* [[Thyroid function tests|Decreased TSH]] ([[Thyrotoxicosis]])
*[[Thyroid peroxidase|TPO antibodies]] absent or very low titer
*[[Thyroid peroxidase|TPO antibodies]] absent or very low titer
*[[I-123 thyroid imaging|I-123]] uptake decreased
*[[I-123 thyroid imaging|I-123]] uptake decreased
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*Children, 20-40
*Children, 20-40
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*Abscess formation
*[[Abscess]] formation
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*[[Thyroid function tests|Normal TSH]] (euthyroidism)
*[[Thyroid function tests|Normal TSH]] ([[Euthyroid|euthyroidis]]<nowiki/>m)
*[[Thyroid peroxidase|TPO antibodies]] absent
*[[Thyroid peroxidase|TPO antibodies]] absent
*[[I-123 thyroid imaging|I-123]] uptake normal
*[[I-123 thyroid imaging|I-123]] uptake normal

Revision as of 18:05, 21 August 2017

Riedel's thyroiditis Microchapters

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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]

Overview

Riedel's thyroiditis must be differentiated from other causes of thyroiditis, such as De Quervain's thyroiditis, Hashimoto's thyroiditis, and suppurative thyroiditis.

Differentiating Hashimoto's Thyroiditis from other Diseases


Conditions Causes Age at onset Pathological findings Diagnostic approach
Riedel's thyroiditis
  • Unknown
  • 30-60
Hashimoto's thyroiditis
  • Autoimmune
  • All ages, peak at 30-50
Painful subacute (De Quervain's) thyroiditis
  • Unknown
  • 20-60
Suppurative thyroiditis
  • Infection
  • Children, 20-40


References

  1. "Thyroiditis — NEJM".

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