Thyroiditis

  • Facts:
    Inflammation of the thyroid gland follicles that causes leakage of thyroid hormone into the circulation

    1.) Subacute lymphocytic (painless) thyroiditis
    2.) Subacute granulomatous (De Quervain's) thyroiditis (painful)
    3.) Iodine-induced thyroid toxicosis
    4.) Levothyroxine overdose
    5.) Struma ovarii
    6.) Postpartum
    7.) Drug induced (eg. amiodarone )
  • History / PE:
    Thyrotoxicosis
    Followed by hypothyroidism
  • Diagnosis:
    Reduced radioactive iodine uptake (RAIU)
  • Treatment:
    Beta blockers ( hyperthyroidism )
    NSAIDs , corticosteroids (severe subacute thyroiditis)
  • Differential Diagnosis:
    Hyperthyroidism



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July 23rd 2010