Abstract

BRITO SOSA, Germán  and  VIVO NUNEZ, Juan Gualberto. Treatment of Riedel's thyroiditis with triamcinolone. Rev Cubana Cir [online]. 2013, vol.52, n.4, pp. 296-305. ISSN 0034-7493.

The first case of Riedel's thyroiditis treated with triamcinolone, a method created by Professor Juan Gualberto Vivo Nunez, was presented. The patient was a 48 years-old woman who went to the emergency service because she presented increased volume of the anterior region of the neck and slight dysphagia. She had a history of hyperthyroidism, at 9 years of age began hypothyroidism and one year before going to emergency room, she was diagnosed with Hashimoto thyroiditis and followed-up in the endocrinology service. Thyroid echography showed marked increase of thyroid gland and the images from fine needle aspiration biopsy were compatible with the existence of Hashimoto thyroiditis. The results backed up the decision of operating her to eliminate the compressive signs. Postoperative biopsy described Riedel's thyroiditis. Since the thyroid lobes were big, it was decided to apply triamcinolone at a dose of ½ cc to each lobe once a month for 4 months. This treatment managed to reduce roughly 50% of thyroid lobes. This showed the good results obtained with the use of triamcinolone.

Keywords : Riedel's thyroiditis; triamcinolone.

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