Dysphagia in a young girl: A rare cause

The lingual thyroid (LT) gland is a rare clinical entity due to the failure of the thyroid gland to descend to its normal cervical location during embryogenesis. The presence of an ectopic thyroid gland located at the base of the tongue may present with symptoms such as dysphagia, dysphonia, upper a...

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Bibliographic Details
Main Authors: Manjappillil Sabu Gokul, Pankaj Singhania, Abhranil Dhar, Pranab Kumar Sahana
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Annals of Medical Science and Research
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Online Access:https://journals.lww.com/10.4103/amsr.amsr_50_22
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Summary:The lingual thyroid (LT) gland is a rare clinical entity due to the failure of the thyroid gland to descend to its normal cervical location during embryogenesis. The presence of an ectopic thyroid gland located at the base of the tongue may present with symptoms such as dysphagia, dysphonia, upper airway obstruction, or even hemorrhage at any time from infancy through adulthood. The incidence of ectopic LT gland is reported as 1:100,000. It is more common in females. Most of the presentations are due to oropharyngeal obstruction, including dysphagia, dyspnea, and dysphonia. Investigations include thyroid function tests, neck ultrasonography, technetium scanning, computed tomography scan, or magnetic resonance imaging. We present the case of a 5-year-old girl who presented with LT and hypothyroidism treated with levothyroxine supplementation, planned for elective surgical resection.
ISSN:2949-785X
2949-7868