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Lupus

What do you think?

01/23/2001

Question:

My 15 year old son has been diagnosed with a multinodular goiter. He had a needle biopsy that came back non cancerous. And a thyroid funtion tests a year ago that came back normal ranges. In the past year and a half he has had 4 ultrasounds during this time with each coming back worse with more and larger nodules, cysts,slight internal vascular masses, and hyperemic on both sides overall.Family members have told us they suspected my son`s grandfather may of had lupus. Would that have anything to do with a thyroid. We are currently just watching my son`s progress or decline of his thyroid. Do you have any thoughts or test recommendations? My husband and I are concerned but don`t know enough to ask the right questions.He is currently seeing an ENT.

Answer:

Although some thyroid disorders, particuarly Grave`s disease and Hashimoto`s thryroiditis, occur more frequently in patients who have lupus, I have not been able to find any association between lupus and multinodular goiter. I would suggest that your son see an endocrinologist; physicians who have this specialty are usually the most knowledgeable physicians about thyroid disorders.

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Response by:

Fred Finkelman, MD
Director, Division of Immunology
College of Medicine
University of Cincinnati