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De Quervain's thyroiditis
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
Some cases may be viral in origin, perhaps preceded by an upper respiratory tract infection. Some cases develop postpartum.
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 is NSAID.
Corticosteroids may be of help in refractory cases.
|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.|