A Case of Chronic Granulomatous Inflammation of Thyroid Gland Presenting as a Painless Thyroid Nodule

Korean Journal of Head & Neck Oncology 2013;29(2):83-86.
Published online November 30, 2013.

Seul Gi Kwak;Jeon Ha Choi;Yoon Jung Kim;Seung Woo Kim

무통성 결절 양상의 갑상선에 발생한 만성 육아종성 염증 1예

곽슬기;최전하;김윤정;김승우

Abstract

Some clinical diseases, such as granulomatous thyroiditis, tuberculosis, and sarcoidosis can cause granuloma-tous inflammation in thyroid, and theses have various clinical presentations. Granulomatous thyroiditis is an in-flammation of thyroid gland, and may be painful and tender in case of infection, radiation, or trauma. Otherwise, autoimmune conditions, medications, or an idiopathic fibrosis may cause to be a painless thyroididtis. It is self-limited, possibly viral, inflammatory thyroid disorder usually presented with thyroid pain and systemic symp-toms. Tuberculosis of the thyroid occurs only rarely and the patient may be asymptomatic. In thyroid sarcoidosis, most common findings are painless, progressive enlargement of the thyroid with normal function. We have expe-rienced a case of chronic granulomatous inflammation of thyroid gland presenting as a painless thyroid nodule and report it with a review of literature.

Key Words: Chronic granulomatous inflammation, Thyroid gland