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RIEDEL'S THYROIDITIS (Rock Hard Thyroid): Stony Hard Woody Thyroid: Symptoms-Causes-Treatment How does Thyroid Hormone effects metabolism video: • HOW DOES THYROID HORMONE AFFECT METABOLISM... Hypothyroidism vs Hyperthyroidism video: • HYPOTHYROIDISM VS HYPERTHYROIDISM: Symptom... What is Riedel's thyroiditis? Riedel´s thyroiditis (RT) is a rare inflammatory disease of the thyroid gland, causing compression and fibrosis of adjacent tissues. Typically the goiter is hard and firm. Hoarseness, dyspnea, and dysphagia may be present. Is Riedel thyroiditis painful? Generally painless WHAT CAUSES THYROIDITIS? Thyroiditis is caused by an attack on the thyroid, causing inflammation and damage to the thyroid cells. Antibodies that attack the thyroid cause most types of thyroiditis. Riedel thyroiditis is generally a slowly progressive condition presenting with firm (“rock hard”), fixed, and usually painless enlargement of the thyroid often with local tissue infiltration and mass effect. It can cause hypoparathyroidism, tracheal compression, and recurrent laryngeal nerve involvement. Presentation Physical exam: presents with fixed, hard goiter painless on palpation Prognosis, Prevention, and Complications Fibrosis may extend locally to the trachea, parathyroid glands, and mediastinum may result in obstruction, dyspnea, hoarseness, and hypoparathyroidism Can you feel thyroiditis? There are different types of thyroiditis, but they all cause inflammation and swelling of your thyroid. They can make it produce too many or not enough hormones. Too many can make you feel jittery and possibly make your heart race. Too few and you may feel tired and depressed. How do you test for thyroiditis? Tests for thyroiditis may include: Thyroid function tests measure the amounts of hormones (thyroid-stimulating hormone or TSH, T3, and T4) in the blood. Thyroid antibody tests measure thyroid antibodies that include antithyroid (microsomal) antibodies (TPO) or thyroid receptor stimulating antibodies (TRAb). Riedel's thyroiditis is characterized by a replacement of the normal thyroid parenchyma by dense fibrosis that invades adjacent structures of the neck and extends beyond the thyroid capsule. This makes the thyroid gland stone-hard (woody) and fixed to adjacent structures. The inflammatory process infiltrates muscles and causes symptoms of tracheal compression. Surgical treatment is required to relieve tracheal or esophageal obstruction. Diagnosis is done by biopsy. It is related to igG4. Most patients remain euthyroid, but approximately 30% of patients become hypothyroid and very few patients are hyperthyroid. It is most commonly seen in women.