Coexistent presentation of Graves’ disease and a Riedel’s thyroiditis - Diagnostic dilemma

Tamuna Gvianishvili, Liana Gogiashvili


Background: The coexistence of Riedel's thyroiditis and Graves' disease is quite rare, presents a diagnostic dilemma and requires a particular clinical approach.

Case report: We describe a 69-year-old man who had two autoimmune processes - Riedel's thyroiditis and Graves' disease, which develop at the same time in different lobes of the thyroid with contradictory manifestations. The diagnosis was confirmed by histological examination.

Conclusions: Present case is unique by development and management, especially, it should be noted that iodine deficient thyroid diseases are endemic to the Caucasus region (Georgia), although the present case is the only one in our observation period (2016-2019).


Riedel's thyroiditis, Graves' disease, Autoimmune thyroiditis

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