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[Thyroid echography in chronic autoimmune lymphocytic thyroiditis].

P Espinasse

    Journal De Radiologie
    |October 1, 1983
    PubMed
    Summary
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    A diffused microechoic echotomography pattern is a valuable indicator for diagnosing chronic lymphocytic thyroiditis (LCT). This ultrasound finding aids in differentiating LCT from Graves

    Area of Science:

    • Endocrinology
    • Radiology
    • Immunology

    Background:

    • Cervical echotomography is routinely used in thyroid investigations.
    • A diffused microechoic thyroid parenchyma pattern is observed in various thyroid conditions, including Graves' disease, subacute thyroiditis, and chronic lymphocytic thyroiditis (LCT).
    • Distinguishing between these conditions can be challenging based solely on imaging.

    Purpose of the Study:

    • To evaluate the diagnostic value of a diffused microechoic thyroid parenchyma pattern in chronic lymphocytic thyroiditis (LCT).
    • To assess the utility of this sonographic finding in differentiating LCT from other thyroid pathologies.

    Main Methods:

    • Systematic cervical echotomography was performed on patients undergoing thyroid investigation.
    • The study focused on 48 cases with a distinct diffused microechoic thyroid parenchyma.

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  • Graves' disease and subacute thyroiditis were excluded using clinical and biological data; LCT diagnosis was confirmed by antithyroid antibodies or clinical probability.

    • Main Results:

    • In 31 of 48 cases, LCT was clinically and biologically confirmed, often with elevated antithyroid antibodies.
    • In the remaining 17 cases, LCT was the most probable diagnosis despite insufficient autoimmune evidence.
    • The diffused microechoic pattern was consistently observed in these LCT cases.

    Conclusions:

    • The diffused microechoic character of the thyroid parenchyma, while not specific, is a significant finding.
    • This echographic sign is valuable for supporting the diagnosis of chronic lymphocytic thyroiditis (LCT).
    • Further autoimmune testing may be necessary when this pattern is observed without clear serological evidence of LCT.