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Sonographic findings of tuberculous thyroiditis in a patient with Behçet's syndrome

✍ Scribed by Sun Yang Chung; Ki Keun Oh; Hang Seok Chang

Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
112 KB
Volume
30
Category
Article
ISSN
0091-2751

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✦ Synopsis

Abstract

We report a case of tuberculous thyroiditis in a woman with Behçet's syndrome. The initial physical examination in May 1998 revealed multiple soft, nontender, mobile lymph nodes, each measuring less than 1 cm, in the left lower internal jugular chain. Sonography performed in February 2000 showed multiple small (< 1 cm), oval lymph nodes, each with an intact fatty hilum, in the left lower internal jugular chain; the thyroid gland appeared normal. Follow‐up sonography 6 months later showed multifocal, heterogeneous, hypoechoic lesions with ill‐defined margins in both lobes of the thyroid and several small, oval lymph nodes, each with an intact fatty hilum, in the left lower internal jugular chain. Fine‐needle aspiration was performed on the largest thyroid lesion, and cytologic analysis of the aspirate revealed a small number of epithelioid histiocytes in a necrotic background, which was suggestive of tuberculosis. Follow‐up sonography after 3 months of antituberculosis chemotherapy showed that the thyroid lesions had resolved. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:184–188, 2002; DOI 10.1002/jcu.10041

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