Tiroides lingual como causa de disfagia: Caso clínico

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...

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Autores principales: Rocha-Ruiz,Ana, Beltrán,Constanza, Harris,Paul R, Orellana,Pilar, García,Cristian, Martínez-Aguayo,Alejandro
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2008
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000100010
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spelling oai:scielo:S0034-988720080001000102008-04-30Tiroides lingual como causa de disfagia: Caso clínicoRocha-Ruiz,AnaBeltrán,ConstanzaHarris,Paul ROrellana,PilarGarcía,CristianMartínez-Aguayo,Alejandro Deglution disorders Hypothyroidism Lingual thyroid 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 (RevMéd Chile 2008; 136: 83-7)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.1 20082008-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000100010es10.4067/S0034-98872008000100010
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Deglution disorders
Hypothyroidism
Lingual thyroid
spellingShingle Deglution disorders
Hypothyroidism
Lingual thyroid
Rocha-Ruiz,Ana
Beltrán,Constanza
Harris,Paul R
Orellana,Pilar
García,Cristian
Martínez-Aguayo,Alejandro
Tiroides lingual como causa de disfagia: Caso clínico
description 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 (RevMéd Chile 2008; 136: 83-7)
author Rocha-Ruiz,Ana
Beltrán,Constanza
Harris,Paul R
Orellana,Pilar
García,Cristian
Martínez-Aguayo,Alejandro
author_facet Rocha-Ruiz,Ana
Beltrán,Constanza
Harris,Paul R
Orellana,Pilar
García,Cristian
Martínez-Aguayo,Alejandro
author_sort Rocha-Ruiz,Ana
title Tiroides lingual como causa de disfagia: Caso clínico
title_short Tiroides lingual como causa de disfagia: Caso clínico
title_full Tiroides lingual como causa de disfagia: Caso clínico
title_fullStr Tiroides lingual como causa de disfagia: Caso clínico
title_full_unstemmed Tiroides lingual como causa de disfagia: Caso clínico
title_sort tiroides lingual como causa de disfagia: caso clínico
publisher Sociedad Médica de Santiago
publishDate 2008
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000100010
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AT harrispaulr tiroideslingualcomocausadedisfagiacasoclinico
AT orellanapilar tiroideslingualcomocausadedisfagiacasoclinico
AT garciacristian tiroideslingualcomocausadedisfagiacasoclinico
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