XXXX manifesting as a @entity1374 , @entity3746 , and @entity2741 .

@entity1 @entity825 @entity2741 @entity4941 @entity2743 @entity229 @entity460 @entity14257 @entity1011 @entity3746 @entity6145 @entity1374
OBJECTIVE: To report a case of @entity4941 manifesting as a @entity1374 , @entity3746 , and @entity2741 . METHODS: We describe the clinical, laboratory, and radiologic findings in a @entity1 with an unusual clinical course of @entity4941 . RESULTS: A 65-year-old @entity1 presented with a hoarse voice and an enlarging tender mass in the right side of the neck. On admission, thyroid function was consistent with @entity2743 from @entity4941 . Laboratory studies showed a corrected serum @entity460 concentration of 11.4 mg/dL, intact parathyroid hormone of 125 pg/mL, @entity14257 of 12 ng/mL, and @entity1011 of 1.8 mg/dL. Computed tomography of the neck without use of a contrast agent showed a heterogeneous mass in the right side of the neck in conjunction with deviation of the @entity825 from right to left but without invasion of the @entity825 . Thyroid ultrasonography disclosed a heterogeneous mass in the right thyroid lobe measuring 4.7 cm by 5.5 cm by 4.5 cm. Flexible laryngoscopy revealed right @entity3746 . Treatment with a course of @entity229 yielded normalization of the serum @entity460 level, improvement in her voice, and a decrease in size of the @entity1374 . Four months after initial presentation of the @entity1 , @entity6145 levels became normal, she was clinically euthyroid, and she had a full recovery of her voice. Her serum @entity460 concentration was normal (9.8 mg/dL) in association with a near-normal parathyroid hormone level of 90 pg/mL. The @entity14257 and @entity1011 values were also normal. Repeated thyroid ultrasonography showed a smaller right thyroid lobe with a dominant nodule measuring 2.0 cm by 1.3 cm by 1.4 cm in the right upper pole. CONCLUSION: This case illustrates that @entity4941 can have the unusual initial manifestations of a @entity1374 , @entity3746 , and @entity2741 . In similar @entity1 , a trial of corticosteroid therapy may be warranted in an effort to improve clinical symptoms and thus avoid unnecessary surgical treatment.
