علاج التهاب الغدة الدرقية لريديل: إدارة الخط الأول

References

DOI: 10.1210/jc.2011-0617

• Effective treatment of the Riedel's goiter includes debulking surgery usually limited to isthmusectomy to relieve constrictive pressure when total thyroidectomy is not possible.
• Finally, antiinflammatory treatments aimed at diminishing the inflammatory mass are applied.
• Although not considered a standard of care, glucocorticoids are usually the first step in the medical management of the patient with the established diagnosis of Riedel's thyroiditis.
• Appropriate intervention for identified endocrine system deficiencies should include the initiation of L-thyroxine replacement therapy for those presenting with primary hypothyroidism, and calcium as well as calcitriol therapy for control of concomitant hypoparathyroidism.
• Reduction in the size and consistency of the mass and upper airway symptoms have in some cases resolved.
• Symptoms of dysphonia and recurrent laryngeal nerve involvement have also been reported to clear.