갑상선 유두암 및 타카야수 동맥염이 동반된 아급성 갑상선염 1예 = A Case of Subacute Thyroiditis Associated with Papillary Thyroid Carcinoma and Takayasu’s Arteritis

다국어 초록 (Multilingual Abstract)

Subacute thyroiditis is a self-limiting inflammation of the thyroid, presenting with painful thyroid swelling, thyrotoxicosis and low radioactive iodine uptake. The characteristic US findings for this disease are focal ill-defined hypoechoic areas in one lobe or diffuse hypoechoic areas in both lobes. Thyroid carcinomas should be included in the differential diagnosis for a lesion with focal hypoechoic areas and have been rarely reported to coexist with subacute thyroiditis. Takayasu’s arteritis is an autoimmune disease that affects the aorta and its branches as well as pulmonary arteries. Subacute thyroiditis associated with Takayasu’s arteritis is extremely rare, with only three cases being reported. We report here on the first case with the simultaneous diagnosis of subacute thyroiditis, papillary thyroid carcinoma and Takayasu’s arteritis.

참고문헌 (Reference)

1 Sun Young Park, "Ultrasonographic Characteristics of Subacute Granulomatous Thyroiditis" 대한영상의학회 7 (7): 229-234, 2006

2 Borg FA, "Treatment and outcomes of large vessel arteritis" 23 : 325-337, 2009

3 Shelhamer JH, "Takayasu’s arteritis and its therapy" 103 : 121-126, 1985

4 Johnston SL, "Takayasu arteritis: a review" 55 : 481-486, 2002

5 Rubin RA, "Susceptibility to subacute thyroiditis is genetically influenced: familial occurrence in identical twins" 1 : 157-161, 1991

6 Yu ES, "Subacute granulomatous thyroiditis associated with papillary carcinoma: a report of a case" 29 : 224-227, 1985

7 Hokama A, "Pulseless hematochezia: Takayasu’s arteritis associated with ulcerative colitis" 42 : 897-898, 2003

8 Nishihara E, "Papillary carcinoma obscured by complication with subacute thyroiditis: sequential ultrasonographic and histopathological findings in five cases" 18 : 1221-1225, 2008

9 Cantú C, "Noninvasive cerebrovascular assessment of Takayasu arteritis" 31 : 2197-2202, 2000

10 Ohta Y, "Inflammatory diseases associated with Takayasu’s arteritis" 54 : 339-344, 2003

11 Kramer AB, "Familial occurrence of subacute thyroiditis associated with human leukocyte antigen-B35" 14 : 544-547, 2004

12 Larry Jameson J, "Endocrinology: adult and pediatric. 6th ed" Saunders/Elsevier 1595-1600, 2010

13 Kissin EY, "Diagnostic imaging in Takayasu arteritis" 16 : 31-37, 2004

14 Milioniz HJ, "Concurrence of giant cell arteritis in a patient with de quervain’s thyroiditis" 47 : 760-761, 1997

15 Fatourechi V, "Clinical features and outcome of subacute thyroiditis in an incidence cohort: Olmsted County, Minnesota, study" 88 : 2100-2105, 2003

16 Ohsako N, "Clinical characteristics of subacute thyroiditis classified according to human leukocyte antigen typing" 80 : 3653-3656, 1995

17 Nishihara E, "Clinical characteristics of 852 patients with subacute thyroiditis before treatment" 47 : 725-729, 2008

18 Horai Y, "A case of Takayasu’s arteritis associated with human leukocyte antigen A24 and B52 following resolution of ulcerative colitis and subacute thyroiditis" 50 : 151-154, 2011