Hashimoto's thyroiditis in association with Tolosa Hunt syndrome: a case report.

Tolosa Hunt syndrome (THS) is a painful ophthalmoplegia due to a nonspecific inflammatory process in the cavernous sinus or to parasellar neoplasms. Although the cause of the disease is unknown, previous observations support the hypothesis that THS may be only one manifestation of a generalized vasculitis. The diagnosis is based on findings of painful ophthalmoplegia, excellent response to corticosteroids, and exclusion of other causes including aneurysm, diabetes mellitus, paranasal mucocele, and carotid cavernous fistula. We report the case of a 24-year-old woman with THS who had undergone thyroidectomy 4 years before admission for goiter with histologic diagnosis of Hashimoto's thyroiditis. This case shows the unusual association between Hashimoto's thyroiditis and THS and supports the autoimmune origin of both diseases.

Primary Hodgkin's disease of the thyroid: report of a case and a review of the literature.

A case of primary and exclusive Hodgkin's disease of the thyroid gland in a 29-year-old woman and a review of the literature are described. Diagnosis with fine-needle aspiration biopsy (FNAB) was performed before surgery. The patient underwent subtotal thyroidectomy, followed by a radiotherapy dose of 46 Gy. Post-operative histological examination confirmed the cytological diagnosis without evidence of thyroiditis or lymphadenopathy. Five months after thyroidectomy, surgical staging confirmed the exclusive localization of the disease in the thyroid. The patient is followed up on an out-patient basis and is still in good health, 24 months after treatment.

Sarcoidosis of the thyroid: report of a case and a review of the literature.

A case of sarcoidosis involving the thyroid gland in a 75 year-old woman and a review of the literature are described. Fine-needle aspiration of the thyroid and a cervical lymph node was performed. Histological examination confirmed the cytological diagnosis.