My watch list
my.bionity.com  
Login  

De Quervain's thyroiditis



De Quervain's thyroiditis
Classification & external resources
ICD-10 E06.1
ICD-9 245.1
DiseasesDB 3474
eMedicine med/534 
MeSH D013968

de Quervain's thyroiditis, is also known as subacute granulomatous thyroiditis or subacute thyroiditis; usually occurs in women between 30 and 50 years of age. It is a member of the group of thyroiditis conditions known as resolving thyroiditis.

Additional recommended knowledge

Contents

Causes

Some cases may be viral in origin, perhaps preceded by an upper respiratory tract infection. Some cases develop postpartum.

Presentation

Patients will experience a hyperthyroid period as the cellular lining of colloid spaces fails, allowing abundant colloid into the circulation, with neck pain and fever. Patients typically then become hypothyroid as the pituitary reduces TSH production and the inappropriately released colloid is depleted before resolving to euthyroid. The symptoms are those of hyperthyroidism and hypothyroidism. In addition, patients may suffer from painful dysphagia. There are multi-nucleated giant cells on histology.Thyroid antibodies can be present in some cases.There is decreased uptake on isotope scan.

Treatment

Treatment is NSAID.

Corticosteroids may be of help in refractory cases.

Eponym

It is named for Fritz de Quervain.[1] It should not be confused with DeQuervain's syndrome.

References

  1. ^ synd/1139 at Who Named It
 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "De_Quervain's_thyroiditis". A list of authors is available in Wikipedia.
Your browser is not current. Microsoft Internet Explorer 6.0 does not support some functions on Chemie.DE