A szubakut de Quervain-thyreoiditis. A kórismézés sarokpontjai négy eset kapcsán

Translated title of the contribution: De Quervain thyroiditis. Corner points of the diagnosis

Roland Oláh, Péter Hajós, Zsuzsanna Soós, Gábor Winkler

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Inflammatory disorders of the thyroid gland are divided into three groups according to their duration (acute, subacute and chronic). De Quervain's thyroiditis (also termed giant cell or granulomatous thyroiditis) is a subacute inflammation of the thyroid, which accounts for 5% of thyroid disorders. The etiology is unknown, it usually appears two weeks after an upper viral respiratory infection. The clinical feature includes neck pain, which is aggraviated during swallowing, and radiates to the ear. On palpation, the thyroid is exquisitely tender. The erythrocyte sedimentation rate is markedly elevated, the leukocyte count, C-reactive protein are normal or slightly elevated. The natural history of granulomatous thyroiditis involves four phases: the destructive inflammation results temporarily in hyperthyroidism followed by euthyroidism. After a transient hypothyroidism the disease becomes inactive and the thyroid function is normalised. Ultrasonographic findings are diffuse hypoechogenic structures, but nodules may also occur. The disease often remains unrecognised, or the first phase of the disease is diagnosed and treated as hyperthyroidism. The diagnosis can be confirmed by the presence of the thyroid autoantibodies, radioiodine uptake and fine needle aspiration cytology. There is no special treatment, non-steroid anti-inflammatory drugs or steroid should be given to relieve the pain. The aim of the authors is to shed light the key points of diagnosis and differential diagnosis by the presentation of four slightly different cases.

Translated title of the contributionDe Quervain thyroiditis. Corner points of the diagnosis
Original languageHungarian
Pages (from-to)676-680
Number of pages5
JournalOrvosi hetilap
Volume155
Issue number17
DOIs
Publication statusPublished - Apr 1 2014

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'De Quervain thyroiditis. Corner points of the diagnosis'. Together they form a unique fingerprint.

  • Cite this