subacute (De Quervain's) thyroiditis

Question 1

what is ‘subacute thyroidits’

Answer 1

1. transient patchy inflammation of thyroid gland

2. post viral infection

Question 2

Which viruses may cause ‘De Quervain thyroiditis’

Answer 2

1. mumps
2. influenza
3. adenovirus

Question 3

Clinical features

Answer 3

1. hx of upper respiratory tract infection
2. painful, firm goitre
3. jaw pain
4. symptoms of hyperthyroisism

Question 4

Phase 1

Answer 4

1. hyperthyroidism
2. painful goitre
3. raised ESR

Question 5

Phase 2

Answer 5

euthyorid

Question 6

Phase 3

Answer 6

hypothyroidism

Question 7

Phase 4

Answer 7

thyroid structure and dunction back to normal

Question 8

Ix - which imaging andwhat does it show?

Answer 8

1. Thyroid scintigraphy

2. globally reduced uptake of iodine-131

Question 9

Mx

Answer 9

1. beta blockers
2. NSAIDs
3. Levothyroxine - hypothyroid phase

(Do not administer antithyroid drug)