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Difficulties in investigating and treating fibrosing thyroid disorder (overlap of fibrosing variant of Hashimoto’s thyroiditis and Riedel’s thyroiditis)
  1. Liam Mahoney Clifford and
  2. Flavian Joseph
  1. Endocrinology, Gosford Hospital, Gosford, New South Wales, Australia
  1. Correspondence to Dr Liam Mahoney Clifford; RANDALTHOR476{at}GMAIL.COM


A gentleman in his 90s presented with a slowly enlarging goitre over 18 months, causing manifestations of superior vena cava obstruction, dysphagia and hoarseness of voice. Investigations were suggestive of a fibrosing thyroid pathology. Surgical management was avoided due to high surgical risk. Treatment included prednisolone and tamoxifen with palliative management in the event of further medical deterioration. This article illustrates the difficulties in diagnosing and managing fibrosing thyroid diseases.

  • Endocrinology
  • Metabolic disorders
  • Thyroid disease
  • Endocrine system

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  • Contributors The following authors were responsible for drafting the text, sourcing and editing clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: LC and FJ. The following authors gave final approval of the manuscript: LC and FJ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.