IgG4-related sclerosing thyroiditis (Riedel-Struma): a review of clinicopathological features and management

Author:

Czarnywojtek Agata,Pietrończyk Krzysztof,Thompson Lester D. R.,Triantafyllou Asterios,Florek EwaORCID,Sawicka-Gutaj Nadia,Ruchała Marek,Płazinska Maria Teresa,Nixon Iain J.,Shaha Ashok R.,Zafereo Mark,Randolph Gregory William,Angelos Peter,Al Ghuzlan Abir,Agaimy Abbas,Ferlito Alfio

Abstract

AbstractWe present a thorough review of the literature on Riedel thyroiditis (RT) with emphasis on aetiology, diagnosis and management, using the PubMed, Sinomed, and China National Knowledge Infrastructure databases. Although the exact aetiology of RT remains obscure, the histopathological features are consistent with a localized form of IgG4-related systemic disease (IgG4-RSD). Nevertheless, IgG4-RSD as a systemic fibroinflammatory disorder per se rarely affects the thyroid in the context of multiorgan manifestations. The initial diagnosis of RT is based on clinical history and imaging, but confirmation by histopathological examination is mandatory. In contrast to the historical surgical approach, glucocorticosteroid therapy is currently considered first line therapy, in line with the RT currently being viewed as a manifestation of, or analogous to, IgG4-RSD. For disease relapse, immunomodulatory agents (azathioprine, methotrexate, rituximab) can be used.

Publisher

Springer Science and Business Media LLC

Subject

Cell Biology,Molecular Biology,General Medicine,Pathology and Forensic Medicine

Reference118 articles.

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