Wednesday, March 12, 2008

Fiber thyroiditis

Cause pathogenesis yet known, it is generally believed that the disease may be the primary, but other emergency, the follow-up of chronic thyroiditis lesions. Clinical manifestations of this disease onset more unconscious, the course for slow, thyroid gradually stiffen, often with the surrounding tissue adhesive, Few pain and oppression symptoms, but can lead to oppression of the trachea and esophagus, respiratory urgency, dysphagia, implicating the recurrent laryngeal nerve can cause hoarseness or speech Aphonia, cervical lymph node enlargement generally, Advanced cases may appear hypothyroidism. Treatment of severe symptoms may choose preparation for thyroid replacement therapy, such as the disease has caused significant tracheal compression symptoms, generally ranges from thyroid removed or cut off the isthmus, two leaf-total thyroidectomy is not only unnecessary, and the thyroid surgery and adhesions around too much and very dangerous and difficult. Surgery after myxedema chances are great, is generally taboo.

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