Tiroides lingual como causa de disfagia: Caso clínico / Disphagia caused by a lingual thyroid: Report of one case
Rev. méd. Chile
; 136(1): 83-87, ene. 2008. ilus
Article
in Spanish
| LILACS
| ID: lil-483223
Responsible library:
BR1.1
ABSTRACT
We report all year-old boy who presented with difficulty in swallowing without symptoms of hypothyroidism. The physical examination revealed a mass at the base of the tongue. The thyroid hormone profile showed a primary hypothyroidism (a serum TSH of 10.8 IU/mL with normal-low thyroxin of 6.0 fig/dL and low triiodothyronine of 57.8 ng/ dL). Antithyroid antibodies were negative. The fiberoptic endoscopy showed a reddish mass, without evidence of haemorrhage or ulceration, confirmed as a well circumscribed, hypodense mass in the base of the tongue by computed tomography of the oropharynx and neck. Tc-99-pertechnetate scanning showed an abnormal area of uptake at the base of the tongue and no uptake in the normal thyroid location, concordant with an ectopic lingual thyroid gland. Levothyroxine in a suppressive dose was started that resulted in a reduction of the size of the mass and disappearance of dysphagia.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Deglutition Disorders
/
Lingual Thyroid
Type of study:
Diagnostic study
/
Etiology study
Limits:
Child
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2008
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL