Extracervical fibrosclerosis causing obstruction of a ventriculo-peritoneal shunt in a patient with hydrocephalus and invasive fibrous thyroiditis (Riedel's struma).

Abstract:

:The association of invasive fibrous thyroiditis (IFT) with foci of extracervical fibrosclerosis is well recognized. Affected sites include the retroperitoneum, the mediastinum, the biliary tract, and the orbit. The development of subcutaneous fibrosclerosis, however, is extremely rare. We report a patient with known invasive fibrous thyroiditis and hypoparathyroidism who presented with localized subcutaneous fibrosclerosis of the anterior chest wall resulting in compression of his ventriculoperitoneal shunt. The aetiology of IFT has remained unclear. Several histological and serological features, including the presence of mononuclear cells within the fibrosclerotic process, the occurrence of microscopic vasculitis, and the detection of autoantibodies directed against thyroid-specific antigens in a large proportion of patients with IFT, currently support the notion of autoimmune mechanisms playing a role in the pathogenesis of this rare disease.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Natt N,Heufelder AE,Hay ID,Grant CS,Goellner JR

doi

10.1046/j.1365-2265.1997.1941028.x

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

107-11

issue

1

eissn

0300-0664

issn

1365-2265

journal_volume

47

pub_type

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