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Thyroid hemiagenesis with subacute thyroiditis

Y Shibutani1, D Inoue, H Koshiyama

  • 1Department of Internal Medicine, Nishi-Kobe Medical Center, Japan.

Thyroid : Official Journal of the American Thyroid Association
|April 1, 1995
PubMed
Summary
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This case report details a 58-year-old woman with thyroid hemiagenesis and subacute thyroiditis. The study highlights the first documented instance of these two conditions co-occurring, offering new insights into thyroid disorders.

Area of Science:

  • Endocrinology
  • Radiology
  • Pathology

Background:

  • Thyroid hemiagenesis is a rare congenital condition characterized by the absence of one thyroid lobe.
  • Subacute thyroiditis is an inflammatory condition of the thyroid gland, often self-limiting.

Observation:

  • A 58-year-old woman presented with a painful, firm nodule in the left thyroid lobe.
  • Elevated thyroid hormone levels and low radioactive iodine uptake indicated subacute thyroiditis.
  • Imaging revealed an enlarged left lobe with a hypoechoic region and an absent right lobe.

Findings:

  • The patient was diagnosed with subacute thyroiditis and incidentally found to have thyroid hemiagenesis.
  • Thyroid function normalized within two months.
  • CT scan confirmed the diagnosis of hemiagenesis, with the right lobe being absent.

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Implications:

  • This case represents the first reported association between thyroid hemiagenesis and subacute thyroiditis.
  • Understanding this association may improve diagnostic approaches for patients with combined thyroid abnormalities.
  • Further research is warranted to explore the potential link and clinical significance of this co-occurrence.