Fibrous thyroiditis - an inflammatory disease of the thyroid gland, characterized by destruction of the thyroid gland to form in her fibrous (connective) tissue, thickening of the thyroid gland and compression of surrounding organs. Today, thanks to widespread use of antibiotics fibrous thyroiditis is quite rare. Approximately three times more likely to get sick woman.
When fibrous thyroiditis thyroid gland becomes very dense. This condition is sometimes called goitre of stone or wood. Fibrous transformation may be one or both lobes cancer. Usually involved in the process and a number of underlying tissues, blood vessels, muscles.
Fibrous thyroiditis often combined with other similar diseases:
sclerosing cholangitis
retrobulbar fibrosis
mediastinal fibrosis.
Some researchers believe that the fibrous thyroiditis is an autoimmune tiroidita final outcome, but this opinion has not been proven, and many osparivaetsya.V now believed that the fibrous thyroiditis occurs after undergoing a viral infection.
The general condition of patients for a long time is good. Disease is manifested by gradual emergence of disorders of swallowing, the feeling of a lump in my throat when swallowing. Sometimes a dry cough, deepening voice. Over time, these manifestations of progress. Swallowing may be difficult. Join respiratory disorders. The voice becomes hoarse, and sometimes disappears altogether. The occurrence of these complaints related to the defeat of the fibrous process surrounding the thyroid gland organs: trachea, esophagus, vocal cords. Fibrotic process can capture and parathyroid glands, which is manifested gipoparatiroza development and the onset of seizures.
The diagnosis of Fibrous thyroiditis set on the basis of clinical history, presence of concomitant diseases, slow the progression of complaints of violation of swallowing, breathing and voice. When the thyroid gland palpation reveals its increase, the heterogeneity of the structure and seal marked. Thyroid slabopodvizhna and soldered to the surrounding tissues. When radioisotope study identifies the "cold" (not accumulate when administered radioactive iodine) nodes. Ultrasound detected an increase in thyroid size, expressed her seal, a thickening of the capsule gland. Biopsy (microscopic examination of tissue of the thyroid) are fibrous tissue.
Treatment of Fibrous thyroiditis exclusively surgical. Besides appointed thyroid hormones, calcium supplements and vitamin D.
