{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:35:58Z","timestamp":1782398158296,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T00:00:00Z","timestamp":1681516800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Endocrinology"],"published-print":{"date-parts":[[2023,4,15]]},"abstract":"<jats:p>Riedel\u2019s thyroiditis is a rare disease of chronic inflammation with fibrotic infiltration of the thyroid gland and its surrounding vital structures. Due to its low incidence, there are often delays in diagnosis as it is commonly mistaken for other thyroid diseases. We report the case of a 34-year-old female patient who presented with a firm, enlarged mass in the neck, compression symptoms, and hypothyroidism. Lab tests showed elevated A-TG (thyroglobulin antibodies) and A-TPO (thyroid peroxidase antibodies) levels. Based on the disease presentation and supporting lab findings, the patient was misdiagnosed with Hashimoto\u2019s thyroiditis and treated accordingly. Yet the patient\u2019s symptoms grew progressively worse. She was discovered to have severe tracheal compression and bilateral RLN (recurrent laryngeal nerve) palsy. Tracheotomy became a necessary surgical intervention after the development of respiratory failure, but this procedure was complicated by the development of an intraoperative pneumothorax. After an open biopsy, histology revealed Riedel\u2019s thyroiditis. A new treatment was introduced, with which the patient\u2019s condition improved. However, she continued to suffer from the open tracheocutaneous fistula left by the tracheostomy, which adversely affected her everyday life. A follow-up operation was performed to close the fistula. In this case report, we discuss the consequences of misdiagnosing the patient and delaying the appropriate treatment for her disease.<\/jats:p>","DOI":"10.1155\/2023\/9989953","type":"journal-article","created":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T19:35:07Z","timestamp":1681587307000},"page":"1-5","source":"Crossref","is-referenced-by-count":2,"title":["Riedel\u2019s Thyroiditis: Pitfalls in Diagnosis and Subsequent Complications"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4042-185X","authenticated-orcid":true,"given":"R.","family":"Pandev","sequence":"first","affiliation":[{"name":"Medical University of Pleven, Pleven, Bulgaria"},{"name":"University Hospital Saint Marina, Pleven, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8268-2599","authenticated-orcid":true,"given":"M.","family":"Khan","sequence":"additional","affiliation":[{"name":"Medical University of Pleven, Pleven, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8470-2952","authenticated-orcid":true,"given":"V.","family":"Ratheesh","sequence":"additional","affiliation":[{"name":"Medical University of Pleven, Pleven, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","article-title":"Riedel thyroiditis","volume-title":"StatPearls [Internet]","author":"S. 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