Life-threatening airway obstruction by Riedel’s thyroiditis

Bibliographic Details
Main Author: Lopes, Maria Leonor Guia
Publication Date: 2024
Other Authors: Cidade, José Pedro, Cunha, Clara, Limbert, Clotilde, Duarte, João Sequeira
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/171135
Summary: Publisher Copyright: © 2024 the author(s).
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spelling Life-threatening airway obstruction by Riedel’s thyroiditisa rare presentation and diagnostic dilemma2024EmergencyFemaleGeriatricJulyPortugalThyroidThyroiditisUnique/unexpected symptoms or presentations of a diseaseWhiteInternal MedicineEndocrinology, Diabetes and MetabolismSDG 3 - Good Health and Well-beingPublisher Copyright: © 2024 the author(s).Riedel’s thyroiditis is the rarest form of thyroiditis, occasionally resulting in rapid thyroid enlargement and potential tracheal obstruction. Here, we detail the case of an 81-year-old woman with a medical history including Hodgkin lymphoma, Hashimoto’s thyroiditis, and multinodular goiter. She presented to the emergency room with stridor, cervical swelling, and breathing difficulties for over 2 days. CT scans revealed substantial thyroid enlargement causing significant glottal and tracheal compression, to a minimum tracheal diameter of 7 mm. Due to the severity of the compressive symptoms, orotracheal intubation and mechanical ventilation were deemed necessary. Surprisingly, despite the initial suspicion of malignancy given the rapid growth in the elderly, subsequent cytological and histological evaluations indicated a benign form of invasive fibrous thyroiditis – Riedel’s thyroiditis. Although surgical intervention was advised, the patient declined and opted for endobronchial treatment with a prosthetic stent and subsequent treatment with systemic glucocorticoids. Following successful treatment, she was discharged within a week and resumed normal activities without respiratory distress. This case is noteworthy for its rapid benign mass growth, rare emergent presentation, and the patient’s advanced age.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNLopes, Maria Leonor GuiaCidade, José PedroCunha, ClaraLimbert, ClotildeDuarte, João Sequeira2024-09-03T22:20:38Z2024-072024-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/171135eng2052-0573PURE: 98742780https://doi.org/10.1530/EDM-24-0053info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-05-12T01:44:53Zoai:run.unl.pt:10362/171135Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T18:49:04.378233Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Life-threatening airway obstruction by Riedel’s thyroiditis
a rare presentation and diagnostic dilemma
title Life-threatening airway obstruction by Riedel’s thyroiditis
spellingShingle Life-threatening airway obstruction by Riedel’s thyroiditis
Lopes, Maria Leonor Guia
2024
Emergency
Female
Geriatric
July
Portugal
Thyroid
Thyroiditis
Unique/unexpected symptoms or presentations of a disease
White
Internal Medicine
Endocrinology, Diabetes and Metabolism
SDG 3 - Good Health and Well-being
title_short Life-threatening airway obstruction by Riedel’s thyroiditis
title_full Life-threatening airway obstruction by Riedel’s thyroiditis
title_fullStr Life-threatening airway obstruction by Riedel’s thyroiditis
title_full_unstemmed Life-threatening airway obstruction by Riedel’s thyroiditis
title_sort Life-threatening airway obstruction by Riedel’s thyroiditis
author Lopes, Maria Leonor Guia
author_facet Lopes, Maria Leonor Guia
Cidade, José Pedro
Cunha, Clara
Limbert, Clotilde
Duarte, João Sequeira
author_role author
author2 Cidade, José Pedro
Cunha, Clara
Limbert, Clotilde
Duarte, João Sequeira
author2_role author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Lopes, Maria Leonor Guia
Cidade, José Pedro
Cunha, Clara
Limbert, Clotilde
Duarte, João Sequeira
dc.subject.por.fl_str_mv 2024
Emergency
Female
Geriatric
July
Portugal
Thyroid
Thyroiditis
Unique/unexpected symptoms or presentations of a disease
White
Internal Medicine
Endocrinology, Diabetes and Metabolism
SDG 3 - Good Health and Well-being
topic 2024
Emergency
Female
Geriatric
July
Portugal
Thyroid
Thyroiditis
Unique/unexpected symptoms or presentations of a disease
White
Internal Medicine
Endocrinology, Diabetes and Metabolism
SDG 3 - Good Health and Well-being
description Publisher Copyright: © 2024 the author(s).
publishDate 2024
dc.date.none.fl_str_mv 2024-09-03T22:20:38Z
2024-07
2024-07-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/171135
url http://hdl.handle.net/10362/171135
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2052-0573
PURE: 98742780
https://doi.org/10.1530/EDM-24-0053
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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