Subacute thyroiditis may be responsible for 1520% of patients presenting with thyrotoxicosis and 10% of patients presenting with hypothyroidism. Other names for this disorder are subacute nonsuppurative thyroiditis, giant. Primary care physicians must be aware of the clinical features of this disorder to make the correct diagnosis and treat appropriately. Jun 20, 2019 please use one of the following formats to cite this article in your essay, paper or report. Thyroiditis includes a group of individual disorders causing thyroidal inflammation but presenting in different ways. Patients will experience a hyperthyroid period as the cellular lining of colloid spaces fails, allowing abundant. Subacute granulomatous thyroiditis often resolves on its own within a few months. Mumps virus, influenza virus, and other respiratory viruses have been found to cause subacute thyroiditis. Thyroiditisthe inflammation of your thyroid gland stop. It may persist from several weeks to a few months but subsides spontaneously.
Patients will experience a hyperthyroid period as the cellular lining of colloid spaces fails. There is no pain and biopsy is similar to the hashimotos thyroiditis. Subacute dequervains thyroiditis is a transient inflammatory thyroid disease usually associated with pain and tenderness of the gland, as well as generalized. Several studies over the years have suggested that it is of viral origin 1, 2. The gland is located in the front of your neck and controls your metabolism by releasing a series of hormones. This condition, unlike hashimoto s disease, rarely causes permanent hypothyroidism. Subacute thyroiditis is an uncommon condition thought to be caused by viral infection of the thyroid gland. Subacute thyroiditis is an acute inflammatory disease of the thyroid probably caused by a virus. Pdf thyroiditis is a group of inflammatory thyroid disorders. Physiotherapy department dequervains tenosynovitis inflammation of the tendons of the thumb information for patients. Patients with chronic lymphocytic thyroiditis also referred to as hashimoto s thyroiditis present with hypothyroidism, goiter, or both.
Society and culture edit blackberry thumb is a neologism that refers to. In our practice the ratio of dq to hashimotos thyroiditis ht is around 1 to 30. Subacute thyroiditis is a selflimited thyroid condition associated with a triphasic clinical course of hyperthyroidism, hypothyroidism, and return to normal thyroid function. Most types of thyroiditis do not cause pain in the thyroid gland. Initial hyperthyroidism is common, sometimes followed by a transient period of hypothyroidism. The disorder often occurs after a viral infection of the upper. Please use one of the following formats to cite this article in your essay, paper or report. Thyroiditis can also be seen in patients taking the drugs interferon and amiodarone. In a typical case a patient had an upper airway infection 36 weeks prior to. In our area, physician should be aware of this possible etiology in presence of recent and acute features of thyrotoxicosis with or without painful firm. The condition often occurs after a viral infection of the upper respiratory tract. Thyroiditis is a general term that refers to inflammation of the thyroid gland.
Ultrasonography demonstrates focal illdefined hypoechoic areas within the thyroid. However, the term subacute thyroiditis has become accepted as a descriptive term for a unique form of inflammation of the thyroid gland, which, while still of. This disorder may be manifested in various clinical forms. The management of subacute dequervains thyroiditis mary ann. An association to hlab35 and b67 has been demonstrated. Mygind1 in 1895 described a case of non suppurative acute thyroiditis in some detail. Silent thyroiditis, the other form of subacute thyroiditis was recognized only in 1970. Feb 15, 2000 thyroiditis is a group of inflammatory thyroid disorders. Subacute thyroiditis is a relatively unusual inflammatory condition of the thyroid that likely has a. Localized subacute thyroiditis presenting as a painful hot. Diagnosis in suspected cases of thyroiditis, tsh, thyroid stimulating hormone that is normally screted by the throid gland, is measured to highlight hyper or hypofunction.
Oct 08, 2018 subacute thyroiditis is a selflimited thyroid condition associated with a triphasic clinical course of hyperthyroidism, hypothyroidism, and return to normal thyroid function. Only two examples were found in a total of 1,282 cases of. Subacute thyroiditis msd manual professional edition. While the onset is acute, the disease may run a variable course of indefinite duration. It is characterized by neck pain and generalized malaise, fatigue, fever, and chills following an upper respiratory infection, usually of viral etiology. Singer classified inflammatory diseases of the thyroid into three broad categories. Read about the 3 main types and their symptoms, causes, and treatments. Subacute thyroiditis is the major cause of pain in the thyroid. Austrian journal of clinical endocrinology and metabolism. Society and culture edit blackberry thumb is a neologism that refers to a form of repetitive strain injury rsi caused by the frequent use of the thumbs to press buttons on pdas, smartphones, or other mobile devices. This surrounds the two tendons that are involved in moving the thumb. For information on thyroid patient support organizations, please visit the patient support links section on the ata website at. Diagnosis is clinical and with thyroid function tests. Symptoms, causes, diagnosis and treatment thyroiditis refers to an inflammation of the thyroid gland.
Subacute thyroiditis is generally caused by viral infection and is the most common cause of a painful thyroid 1, 3. Jul 21, 2011 silent thyroiditis, the other form of subacute thyroiditis was recognized only in 1970. Physiotherapy department dequervains tenosynovitis. Most thyroidologists use the term subacute thyroiditis to apply specifically to subacute granulomatous thyroiditis.
Seronegative thyroiditis this is considered a milder, less aggressive form of hashimotos and often without antibodies, which is why an ultrasound might be needed to firmly diagnosis seronegative. Gk, thyreos, shield, itis, inflammation an acute inflammatory condition of the thyroid characterized by swelling and tenderness of the gland. In our practice the ratio of dq to hashimoto s thyroiditis ht is around 1 to 30. If you start treatment early, your symptoms should improve within four to six weeks.
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