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Hypothyroidism and multinodular goiter due to tubercular thyroiditis: A rare coexistence

INTRODUCTION AND IMPORTANCE: the diagnosis of thyroid tuberculosis is often difficult, on account of its rarity even in countries with endemic tuberculosis, and on account of its non-specific clinical, biological and radiological presentation. CASE PRESENTATION: A 38-year-old woman presented with sw...

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Detalles Bibliográficos
Autores principales: Sbai, Achraf Amine, Draoui, Najat, Tsen, Adil Abdenbi, Elayoubi, Fahd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577845/
https://www.ncbi.nlm.nih.gov/pubmed/36268325
http://dx.doi.org/10.1016/j.amsu.2022.104724
Descripción
Sumario:INTRODUCTION AND IMPORTANCE: the diagnosis of thyroid tuberculosis is often difficult, on account of its rarity even in countries with endemic tuberculosis, and on account of its non-specific clinical, biological and radiological presentation. CASE PRESENTATION: A 38-year-old woman presented with swelling in the anterior part of the neck for 7 years. Clinical and radiological examination found multinodular goiter and fine needle aspiration cytology showed colloidal cells with follicular cells. A total thyroidectomy was performed and histological examination of showed epithelioid and giganto-cellular granulomatous with caseous necrosis, confirming the diagnosis of tuberculous thyroiditis. CLINICAL DISCUSSION: Tuberculosis of the thyroid gland is a very rare disease, the diagnosis is often made by fine needle aspiration cytology (FNAC), the treatment is mainly medical with antituberculosis drugs, but surgery remains a therapeutic means for some cases. CONCLUSION: The diagnosis of thyroid TB should be suspected in the presence of a thyroid swelling or nodule, especially in countries with a high prevalence of TB, to allow for early and appropriate management.