Sarcoidosis causing goiter; a case report with literature review

Introduction Sarcoidosis involving the thyroid gland is an exceedingly rare condition characterized by non-necrotizing and non-caseating granuloma. This study represents a case of thyroid sarcoidosis in an elderly female.Case report A 62-year-old female presented with anterior neck swelling associat...

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Main Authors: Abdulwahid M. Salih, Aras J. Qaradakhy, Ari M. Abdullah, Yadgar A. Saeed, Aso S. Muhialdeen, Abdullah A. Qadir, Shko H. Hassan, Goran L. Omer, Imad J. Habibullah, Fahmi H. Kakamand
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Acta Oto-Laryngologica Case Reports
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Online Access:https://www.tandfonline.com/doi/10.1080/23772484.2024.2414980
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Summary:Introduction Sarcoidosis involving the thyroid gland is an exceedingly rare condition characterized by non-necrotizing and non-caseating granuloma. This study represents a case of thyroid sarcoidosis in an elderly female.Case report A 62-year-old female presented with anterior neck swelling associated with difficulties in breathing and swallowing for six months. Physical examination revealed an enlarged, firm, and non-tender thyroid gland. Thyroid function tests were normal, with a high level of angiotensin-converting enzyme. A neck ultrasound revealed nodules in both thyroid lobes and bilateral cervical lymphadenopathies. The patient underwent a total thyroidectomy and lymph node excision. Histopathological examination of the specimen showed features suggestive of thyroid sarcoidosis.Conclusion Sarcoidosis involving the thyroid gland is a rare finding, and its diagnosis necessitates the exclusion of other potential explanations for similar symptoms. Surgery becomes necessary when there are compression symptoms or a risk of malignancy.
ISSN:2377-2484