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ARTICLE |

CHRONIC NONSPECIFIC THYROIDITIS

J. GORDON LEE, M.D., C.M.
Arch Surg. 1935;31(6):982-1012. doi:10.1001/archsurg.1935.01180180134006.
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Introduction

Historical Summary

Report of Cases of the Fibrous Type

Report of Cases of the Lymphoid Type

Résumé of Types

Fibrous Type (Riedal)

Lymphoid Type (Hashimoto)

Comment

Comparison of Types

Etiology

Diagnosis

Treatment

Summary

INTRODUCTION  Chronic nonspecific thyroiditis is a nonsuppurative disease of unknown etiology, affecting the thyroid gland of men and women, both young and old. It is characterized by the rapid development of an extremely hard, frequently fixed tumor, without previous or present signs of hypothyroidism or hyperthyroidism, although a goiter may have been present for some time. There is little, if any, associated fever or leukocytosis. Pain is very infrequent, dyspnea, dysphagia and aphonia being the most common symptoms. The regional lymph nodes are rarely enlarged. Metastases never occur.There are two pathologic types. One is characterized chiefly by fibrosis, and the other, chiefly by lymphocytic infiltration. These types do not include the somewhat similar-appearing pathologic changes

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