[Multinodular goitre with widespread vasculitis of thyroid arteries revealing temporal giant cell arteritis].
We describe a 62-year-old woman with slowly growing usual nodular goitre in whom diffuse giant cell arteritis (GCA) of the thyroid arteries was found upon thyroidectomy, revealing otherwise unsuspected biopsy-proven temporal arteritis. To our knowledge, this association had been previously reported in only three instances. In each case, GCA of the thyroid arteries appeared clinically silent, did not produce significant glandular dysfunction, and was uncovered thanks to a planned thyroidectomy for nodular goitre. These observations highlight that thyroid artery involvement by GCA, even widespread, as in our patient, may be overlooked clinically and may produce little or no thyroid dysfunction.
Liozon
E
E
Service de médecine interne A, hôpital universitaire Dupuytren, CHU Dupuytren, 2, avenue Martin-Luther-King, 87000 Limoges cedex, France. eric.liozon@unilim.fr
Petit
B
B
Ouattara
B
B
Rhaïem
K
K
Galinat
S
S
Vidal
E
E
D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000473:pathology; D006044:Goiter, Nodular / Q000150:complications* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D013961:Thyroid Gland / Q000098:blood supply* / Q000473:pathology; D014657:Vasculitis / Q000150:complications*