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October 16, 1943


Author Affiliations


From the Department of Surgery, DeCourcy Clinic, and the Good Samaritan Hospital.

JAMA. 1943;123(7):397-399. doi:10.1001/jama.1943.02840420009004

As I1 pointed out in a recent article on the subject, I feel that Riedel's struma is the result of a previous perithyroiditis which causes a partial constriction of the vessels entering the thyroid gland. Another case of Riedel's struma, in which I lately operated, has served to strengthen my belief that such is the etiology of this condition and has, in addition, focused my attention on perithyroiditis as a distinct entity.

My own observations on a series of cases, including the one here reported in detail, have convinced me of the etiologic relationship between perithyroiditis and woody thyroiditis. I believe that, as a result of the perithyroiditis, the fibrous growth characteristic of the disease begins outside rather than within the thyroid gland. Histologic evidence indicates that, as a sequel to perithyroiditis and its complications, there results partial occlusion of the blood vessels entering the gland with subsequent formation

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