Sonographic findings of tuberculous thyroiditis in a patient with Behçet's syndrome.
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.
Chung
Sun Yang
SY
Department of Diagnostic Radiology, Pochon CHA University, College of Medicine, 351 Yatap-dong, Pundang-gu, Sungnam, Kyonggi-do 463-712, Korea.
Oh
Ki Keun
KK
Chang
Hang Seok
HS
D000328:Adult; D000995:Antitubercular Agents; D001528:Behcet Syndrome / Q000150:complications / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012680:Sensitivity and Specificity; D013969:Thyroiditis, Suppurative / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome; D014383:Tuberculosis, Endocrine / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014463:Ultrasonography
D000995:Antitubercular Agents