Skip to main content
PMC home page
Postgraduate Medical Journal logoLink to Postgraduate Medical Journal
. 1979 Mar;55(641):194–198. doi: 10.1136/pgmj.55.641.194

Riedel's thyroiditis leading to severe but reversible pituitary failure.

W F Kelly, K Mashiter, S Taylor, G F Joplin
PMCID: PMC2425404  PMID: 461283

Abstract

This patient with histologically proved Riedel's thyroiditis had hypothyroidism of sufficient severity to cause panhypopituitarism, and it was this which first brought him to medical attention. The beneficial effects are described of surgery in relieving severe dysphagia and stridor, and of prednisone in softening and shrinking the hard neck mass. The extent of pituitary failure, and the degree of recovery on treatment with thyroxine are reported, together with details of 4 other cases of Riedel's thyroiditis seen by one of the authors (S.T.).

Full text

PDF
196

Images in this article

197Fig. 5
on p.197

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BEAHRS O. H., MCCONAHEY W. M., WOOLNER L. B. Invasive fibrous thyroiditis (Riedel's struma). J Clin Endocrinol Metab. 1957 Feb;17(2):201–220. doi: 10.1210/jcem-17-2-201. [DOI] [PubMed] [Google Scholar]
  2. Brien T. G. The adrenocortical status of patients with thyroid disease. Clin Endocrinol (Oxf) 1976 Jan;5(1):97–99. [PubMed] [Google Scholar]
  3. Collins W. P., Mansfield M. D., Alladina N. S., Sommerville I. F. Radioimmunoassay of plasma testosterone. J Steroid Biochem. 1972 Apr;3(3):333–348. doi: 10.1016/0022-4731(72)90080-5. [DOI] [PubMed] [Google Scholar]
  4. HARTOG M., GAAFAR M. A., MEISSER B., FRASER R. IMMUNOASSAY OF SERUM GROWTH HORMONE IN ACROMEGALIC PATIENTS. Br Med J. 1964 Nov 14;2(5419):1229–1232. doi: 10.1136/bmj.2.5419.1229. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Katsikas D., Shorthouse A. J., Taylor S. Riedel's thyroiditis. Br J Surg. 1976 Dec;63(12):929–931. doi: 10.1002/bjs.1800631210. [DOI] [PubMed] [Google Scholar]
  6. Kjeld J. M., Kuku S. F., Diamant L., Fraser T. R., Joplin G. F., Mashiter K. Production and storage of (125-I) thyroxine and (125-I) triiodothyronine of high specific activity. Clin Chim Acta. 1975 Jun 20;61(3):381–389. doi: 10.1016/0009-8981(75)90428-3. [DOI] [PubMed] [Google Scholar]
  7. Kuku S. F., Harsoulis P., Young J. L., Fraser T. R. Concentrations of immunoreactive thyrotrophic hormone in urine of normal subjects, patients with thyroid disorders and hypopituitarism, and after infusion of human thyrotrophic hormone. J Endocrinol. 1974 Sep;62(3):645–655. doi: 10.1677/joe.0.0620645. [DOI] [PubMed] [Google Scholar]
  8. Marshall J. C., Anderson D. C., Burke C. W., Galvao-Teles A., Fraser T. R. Clomiphene citrate in men: increase of cortisol, luteinizing hormone, testosterone and steroid-binding globulins. J Endocrinol. 1972 May;53(2):261–276. doi: 10.1677/joe.0.0530261. [DOI] [PubMed] [Google Scholar]
  9. Marshall J. C., Anderson D. C., Fraser T. R., Harsoulis P. Human luteinizing hormone in man: studies of metabolism and biological action. J Endocrinol. 1973 Mar;56(3):431–439. doi: 10.1677/joe.0.0560431. [DOI] [PubMed] [Google Scholar]
  10. Minozzi M., Faggiano M., Lombardi G., Carella C., Criscuolo T., Oliver C., Vague P. Somatotrophic and corticotrophic functions in primary hypothyroidism before and after thyroxine treatment. Acta Endocrinol (Copenh) 1973 Nov;74(3):483–491. doi: 10.1530/acta.0.0740483. [DOI] [PubMed] [Google Scholar]
  11. Root A. W., Rosenfield R. L., Bongiovanni A. M., Eberlein W. R. The plasma growth hormone response to insulin-induced hypoglycemia in children with retardation of growth. Pediatrics. 1967 Jun;39(6):844–852. [PubMed] [Google Scholar]
  12. Tunbridge W. M., Marshall J. C., Burke C. W. Primary hypothyroidism presenting as pituitary failure. Br Med J. 1973 Jan 20;1(5846):153–154. doi: 10.1136/bmj.1.5846.153. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Vallotton M. B., Pretell J. Y., Forbes A. P. Distinction between idiopathic primary myxedema and secondary pituitary hypothyroidism by the presence of circulating thyroid antibodies. J Clin Endocrinol Metab. 1967 Jan;27(1):1–10. doi: 10.1210/jcem-27-1-1. [DOI] [PubMed] [Google Scholar]
  14. Vince F. P., Boucher B. J., Cohen R. D., Godfrey J. The response of plasma sugar, free fatty acids, 11-hydroxycorticosteroids and growth hormone to insulin-induced hypoglycaemia and vasopressin in primary myxoedema. J Endocrinol. 1970 Nov;48(3):389–400. doi: 10.1677/joe.0.0480389. [DOI] [PubMed] [Google Scholar]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES