Definition
Definition
L'perithyroid abscess recurrent perithyroid abscess in children and adolescents, should lead to a search for malformation of the pyriform sinus, and total branchial arch anomaly.
Symptoms
Symptoms
Symptoms of a recurring perithyroid abscess include:
- The patient presents a hyperthermia (fever) usually with an infection of the pharynx.
- Then appears a abscess around the thyroid which should not be confused with abnormal lymph nodes or a adenophlegmon.
Pathophysiology
In some cases, the asymmetrical development of aortic arches (in English aortic arches) explains the greater frequency of left-sided locations of this type of pathology. It is laryngo and hypopharyngoscopy using a rigid tube, which makes it possible to highlight an orifice inside the piriform sinus (in English piriform sinus) more precisely its mucosa, that is to say the layer of cells which covers it.
Cause
Cause
There is controversy regarding the embryonic origin of a recurrent perithyroid abscess:
- For some it would be a canal remnant of the third and fifth endobrachial pouch.
- For others, it would be lesions that develop at the upper pole of the thyroid gland (in English thyroid gland) more precisely its left part.