Plasma cell granuloma of the thyroid and Hashimoto thyroiditis.


:Plasma cell granuloma of the thyroid is a rare tumor-like lesion formed by a localized proliferation of inflammatory cells, supported by a stroma of fibrous tissue. Few cases have been previously reported in the medical literature. We report a new case of a 41-year-old man presenting a goiter with primary hypothyroidism (thyroid-stimulating hormone, 70 mIU/L; free thyroxine, < 0.01 pmol/L; triiodothyronine, 0.66 nmol/L) and elevation of thyroid antibodies. Several fine-needle aspiration biopsies of the thyroid were fruitless and total thyroidectomy was performed. Histologic and immunohistochemical study demonstrated the polyclonal nature of the cells and yielded a diagnosis of plasma cell granuloma. Histologic findings of Hashimoto thyroiditis were present too.


South Med J


Southern medical journal


Ferrer-García JC,Costa-Talens P,Merino-Torres JF,Prieto-Rodríguez M,Vera-Sempere JF,Piñón-Sellés F




Has Abstract


2004-06-01 00:00:00












  • Nontubercular mycobacterial pulmonary infection in immunocompetent men.

    abstract:BACKGROUND:Nontubercular mycobacteria (NTM) are increasingly recognized to cause lung disease in immunocompetent patients. We studied the occurrence of pulmonary infection due to NTM in immunocompetent men. METHODS:We retrospectively analyzed all sputum mycobacterial cultures at our institution over a 5-year period. C...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kanathur N,Shantaveerapa HN,Byrd RP Jr,Mehta JB,Roy TM

    更新日期:2001-07-01 00:00:00

  • Stress urinary incontinence in active elderly women.

    abstract::Urinary incontinence in the elderly is a significant health problem fraught with isolation, depression, and an increased risk of institutionalization and medical complications. Stress urinary incontinence (SUI), the complaint of involuntary loss of urine during effort or exertion or during sneezing or coughing, is the...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Viktrup L,Koke S,Burgio KL,Ouslander JG

    更新日期:2005-01-01 00:00:00

  • Multiple adverse effects of pyridium: a case report.

    abstract::Pyridium (phenazopyridine hydrochloride) is often prescribed as an analgesic in patients following trauma, surgery, or infections of the urinary tract. Pyridium toxicity has been previously reported, however, most cases result in a single adverse effect. Herein the authors describe an elderly patient who presented wit...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Haigh C,Dewar JC

    更新日期:2006-01-01 00:00:00

  • Patients Desire Personalized, Specific, and Continuous Advice on Weight Management.

    abstract:OBJECTIVE:To deliver effective care, healthcare systems should understand patients' preferences for weight management across a spectrum of needs. Our objective was to describe patients' perceptions of what helps or hinders weight loss and maintenance. METHODS:Semistructured interviews were conducted with patients who ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Pfoh ER,Flench R,Varghai NH,King M,Heinberg LJ

    更新日期:2021-01-01 00:00:00

  • Neuroimaging of arachnoiditis induced by spinal anesthesia.

    abstract::Despite the simplicity, effectiveness, and safety of spinal anesthesia, arachnoiditis can occur as a complication. The cause of this is often unknown, especially since disposable spinal kits are now normally used. It is postulated that an untoward reaction to the anesthesia or chemical contamination was the cause of a...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Hardjasudarma M,Davis DR 2nd

    更新日期:1993-11-01 00:00:00

  • Dilutional acidosis.

    abstract::Rapid, extreme expansion of the extracellular fluid with solutions devoid of acid or alkali theoretically can produce a metabolic acidosis, due to buffer dilution. This phenomenon has previously been demonstrated only in experimental animal studies. We have reported what we believe to be the first documented case of h...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Goodkin DA,Raja RM,Saven A

    更新日期:1990-03-01 00:00:00

  • Grip strength before and after carpal tunnel decompression.

    abstract::We prospectively studied preoperative and postoperative grip and pinch strength in 21 patients having 30 consecutive median nerve decompressions for carpal tunnel syndrome. All procedures were done by one surgeon. Each hand operated on served as its own control and was studied by the same therapist preoperatively and ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Young VL,Logan SE,Fernando B,Grasse P,Seaton M,Young AE

    更新日期:1992-09-01 00:00:00

  • Molecular mechanisms of allergic disease.

    abstract::Interaction of allergen with T-cells is associated with patterns of cytokine release by immunocompetent cells characterized as T-helper Th1 or Th2 T-immune responses. The Th2 pattern of inflammation induced by this cytokine release is associated with allergic diseases. The molecular mechanisms underlying allergic infl...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Venarske D,deShazo RD

    更新日期:2003-11-01 00:00:00

  • Unilateral duplex horseshoe kidney with ectopic ureterocele.

    abstract::We have reported a case of horseshoe kidney, a common renal fusion anomaly. Because of the 25% incidence of associated genitourinary anomalies, we believe that the diagnosis of horseshoe kidney in pediatric patients should initiate a thorough urologic evaluation, including intravenous urography and real-time sonograph...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sumner TE,Volberg FM,Munitz A,Harrison LH,Mashburn AM

    更新日期:1985-02-01 00:00:00

  • Atypical chest pain: a computer-assisted study.

    abstract::We have recently developed a Data Bank for Digestive Disorders, with primary data derived from the performance of upper gastrointestinal endoscopy. By using this system to analyze the clinical characteristics of patients with atypical chest pain, we found information from the patient's history (reflux, dysphagia, abdo...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Pancotto FS,Garbutt JT Jr

    更新日期:1983-01-01 00:00:00

  • Systemic lupus erythematosus: unusual presentation with gastric polyps and vasculitis.

    abstract::A case of SLE with the unique association of gastric polyps and vasculitis is reported. Gastrointestinal symptoms, surgical indications, and complications of SLE with gastrointestinal involvement are reviewed. The unusual patterns of ileus or lupus peritonitis secondary to mesenteric vasculitis must be differentiated ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Morton RE,Miller AI,Kaplan R

    更新日期:1976-04-01 00:00:00

  • Fractures of the tibia treated with Lottes nail fixation.

    abstract::We have reviewed 60 consecutive cases, occurring in 57 patients, of intramedullary fixation of fractures of the midshaft of the tibia done over a ten-year period with the Lottes nail. Of 50 acute fractures, 38 were open fractures, nailed after adequate irrigation and debridement; the other 12 were closed fractures. Th...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Velazco A,Whitesides TE Jr,Fleming LL

    更新日期:1981-04-01 00:00:00

  • Treatment decisions in "white coat" hypertension: do we need the whole 24 hours?

    abstract::Twenty-four hour ambulatory blood pressure monitoring (24BP) is an emerging technology used to further evaluate elevated blood pressure readings obtained during office visits. We wondered whether a less costly approach than 24BP would lead clinicians to similar treatment decisions. Eleven faculty general internists se...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rucker L,Mabourakh S,Onishi R

    更新日期:1990-06-01 00:00:00

  • Association of systemic lupus erythematosus and gluten enteropathy.

    abstract::Systemic lupus erythematosus presents various clinical manifestations. The coexistence of systemic lupus erythematosus and celiac sprue has been rarely reported. We present a patient who had systemic lupus erythematosus with malabsorption demonstrating characteristic clinical and pathologic findings of celiac sprue (g...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Komatireddy GR,Marshall JB,Aqel R,Spollen LE,Sharp GC

    更新日期:1995-06-01 00:00:00

  • Survey of physician acceptance of the pneumococcal vaccine.

    abstract::A group of 251 randomly selected physicians completed a survey designed to study their attitudes toward, knowledge about, and use of pneumococcal vaccine. Eighty-five percent of respondents believed the vaccine had been proven effective. For the use of the vaccine, respondents supported broad indications, including ch...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Berk SL,Verghese A,Berk ML,Dison C,Smith JK

    更新日期:1984-04-01 00:00:00

  • Echocardiography in infective endocarditis.

    abstract:BACKGROUND:Echocardiographic demonstration of valvular infection now ranks with positive blood cultures as one of the two major clinical criteria for diagnosis of infective endocarditis (IE), according to new, more accurate guidelines for diagnosis. Because early detection of IE and its complications is essential for d...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Kemp WE Jr,Citrin B,Byrd BF 3rd

    更新日期:1999-08-01 00:00:00

  • Treatment of keloids by single intraoperative perilesional injection of repository steroid.

    abstract::Keloid management remains controversial, and recurrence and untoward side effects limit the use of many techniques. During a seven-year period, I surgically treated 19 children, aged 3 to 17 (mean 10.5 years), with a total of 28 keloids. After aseptic skin preparation, the interface between the keloid and normal skin ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Golladay ES

    更新日期:1988-06-01 00:00:00

  • Pediatric transfusion: considerations by age and blood component.

    abstract::Transfusion in the pediatric age group requires careful consideration of the patient's weight and age because of potential problems with intravascular volume and difficulty with administration of the blood product. Different age groups have varied disease processes that require specific blood components. A correct dia...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Glassman AB

    更新日期:1982-06-01 00:00:00

  • Gastrocolic fistula resulting from chronic pancreatitis.

    abstract::Gastrocolic fistulas are rare, and are usually seen as complications of peptic ulcer or malignancy of the stomach and large intestine. We have described a case resulting from chronic relapsing pancreatitis. The patient was successfully treated with excision of the fistula and closure of the gastric and colonic wall. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Hansen CP,Christensen A,Thagaard CS,Lanng C

    更新日期:1989-10-01 00:00:00

  • Accuracy of staining technique for detecting mycobacterial infection.

    abstract::The acid-fast smear has been regarded as a poor screening technique of decreasing reliability for correct identification of diseased patients in representative hospital populations. In this report, laboratory data are reviewed from three institutions: a tertiary care facility, a regional reference laboratory, and a su...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Alonso K

    更新日期:1984-02-01 00:00:00

  • Large fluid-filled thoracic mass in a young man.

    abstract::As this case illustrates, lung cancer should be included in the differential diagnosis in a young person with fever, purulent sputum, and a large cystic mass on chest roentgenogram. An aggressive diagnostic approach including biopsy is recommended if symptoms do not respond to early treatment. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Hebert C,George RB

    更新日期:1988-10-01 00:00:00

  • Chronic back pain: does elective surgery benefit patients with evidence of psychologic disturbance?

    abstract::Thirty-five patients with chronic low back pain responded to a follow-up survey 18 months after being discharged from the hospital. All patients had objective (MMPI) evidence of psychologic disturbance during hospitalization. Seven patients subsequently obtained additional elective back surgery; the remaining 28 did n...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Gentry WD

    更新日期:1982-10-01 00:00:00

  • Atomoxetine-induced myocardial infarction.

    abstract::Atomoxetine (Strattera®, Eli Lilly and Co.) is the first non-stimulant drug in the United States (US) to be approved for the treatment of attention deficit hyperactivity disorder (ADHD). In the past, physicians have been concerned about the safety of a variety of ADHD medications. As a result, non-stimulant drugs were...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Seifi A,Griffith H,Avestimehr S,Dib H

    更新日期:2011-02-01 00:00:00

  • Giant avascular hepatocellular carcinoma mimicking metastatic tumor.

    abstract::We have described the radiographic features of a case of solitary giant hepatocellular carcinoma in a noncirrhotic liver. It was angiographically avascular and resembled a massive metastatic tumor. Most hepatocellular carcinomas appear highly vascular on angiography. Hypovascularity may sometimes be encountered in the...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Thomas CT,Westerfield LH,Perlman PE,Thomas E

    更新日期:1983-10-01 00:00:00

  • Pain Scores and Exposure Rates after Polypropylene Mesh for Pelvic Organ Prolapse.

    abstract:OBJECTIVES:To characterize pain and exposure after Prolift placement and identify risk factors. METHODS:A case series of women who underwent Prolift vaginal mesh were surveyed. Pain was assessed using a visual analog scale. Exposure was evaluated clinically. RESULTS:Of 183 eligible patients, 160 completed the survey,...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Illston JD,Garris JB,Richter HE,Wheeler TL 2nd

    更新日期:2015-12-01 00:00:00

  • Fetal intestinal obstruction: necessity for percutaneous umbilical blood sampling to assess the severity of Rh sensitization.

    abstract::Investigation into the severity of hemolytic disease due to Rh isoimmunization may be complicated by concurrent amniotic fluid contamination with bile. We have presented a case in which a prenatal sonogram showed evidence of fetal intestinal obstruction, which was subsequently confirmed postpartum by exploratory lapar...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Meyer WR,Walker BF,Randall HW,Vroon DH,Korotkin JH

    更新日期:1990-02-01 00:00:00

  • Value of ultrasonography, fine needle aspiration, and percutaneous drainage of perinephric abscesses.

    abstract::With the advent of ultrasonography, perinephric fluid collection can be easily diagnosed and confirmed by fine needle aspiration. In the past these cases sometimes went undiagnosed for several months. We did fine needle aspiration under the guidance of ultrasonography in 16 patients without complications. The aspirant...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Elyaderani MK,Moncman J

    更新日期:1985-06-01 00:00:00

  • Deceptive liver histology delays diagnosis of cardiac ascites.

    abstract::Cardiac ascites is a rare condition. Diagnosis is aided by liver histology, which characteristically shows diffuse hepatic congestion affecting the centrilobular region. In our case of refractory ascites due to constrictive pericarditis, diagnosis was delayed because centribular hepatic congestion was absent histologi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kirsch M,Fleshler B

    更新日期:1992-11-01 00:00:00

  • Medical coverage of high school athletics in North Carolina.

    abstract:BACKGROUND:A significant percentage of high school students participate in athletics, and of those participating, at least one third will experience a sport-related injury. Despite the high risk of injury, there are few guidelines on what type of medical coverage should be provided for high school athletics. Although v...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Aukerman DF,Aukerman MM,Browning D

    更新日期:2006-02-01 00:00:00

  • Diaphragmatic flutter emulating recalcitrant asthma.

    abstract::Diaphragmatic flutter is a rare phenomenon characterized by high-frequency, pulsatile contractions of the thorax and abdominal wall associated with breathlessness. We describe the case of a patient previously treated for status asthmaticus who had physical signs of diaphragmatic flutter. Respiratory inductive plethysm...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Harrison P,Onorato DJ

    更新日期:1997-02-01 00:00:00