title: [Riedel's struma and fibrous mediastinitis. Positive therapeutic responsiveness to corticoids].
abstract: In a 45-year-old man with chronic hepatitis B a fibrous mediastinitis developed originating from a Riedel's thyroiditis. Because of associated pleural effusion compression of a pulmonary vessel could not be excluded. Administration of corticoids, undertaken in the absence of general guidelines to treat the mediastinitis, achieved regression of the pleural effusion and the mediastinal changes, as well as shrinkage of the cervical fibrosis.
authors.affiliation: Abteilung für Innere Medizin, St.-Barbara-Klinik Heessen, Hamm.
authors.forename: M
authors.initials: M
authors.lastname: Westhoff
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D002908:Chronic Disease; D005355:Fibrosis; D006509:Hepatitis B / Q000473:pathology; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D008875:Middle Aged; D010996:Pleural Effusion / Q000473:pathology; D013577:Syndrome; D013961:Thyroid Gland / Q000473:pathology; D013966:Thyroiditis / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones
vernacular_title: Riedel-Struma und fibröse Mediastinitis. Positive therapeutische Beeinflussbarkeit durch Corticoide.