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Sonographic findings of tuberculous thyroiditis in a patient with Behçet's syndrome
Author(s) -
Chung Sun Yang,
Oh Ki Keun,
Chang Hang Seok
Publication year - 2002
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10041
Subject(s) - medicine , thyroid , subacute thyroiditis , lymph , thyroiditis , pathology , lesion , fine needle aspiration , tuberculous lymphadenitis , radiology , tuberculosis , biopsy
We report a case of tuberculous thyroiditis in a woman with Behçet's syndrome. The initial physical examination in May 1998 revealed multiple soft, nontender, mobile lymph nodes, each measuring less than 1 cm, in the left lower internal jugular chain. Sonography performed in February 2000 showed multiple small (< 1 cm), oval lymph nodes, each with an intact fatty hilum, in the left lower internal jugular chain; the thyroid gland appeared normal. Follow‐up sonography 6 months later showed multifocal, heterogeneous, hypoechoic lesions with ill‐defined margins in both lobes of the thyroid and several small, oval lymph nodes, each with an intact fatty hilum, in the left lower internal jugular chain. Fine‐needle aspiration was performed on the largest thyroid lesion, and cytologic analysis of the aspirate revealed a small number of epithelioid histiocytes in a necrotic background, which was suggestive of tuberculosis. Follow‐up sonography after 3 months of antituberculosis chemotherapy showed that the thyroid lesions had resolved. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:184–188, 2002; DOI 10.1002/jcu.10041