Subacute thyroiditis Flashcards
What is another term for subacute thyroiditis?
De Quervain’s thyroiditis
What does subacute thyroiditis usually follow?
A viral infection
How many phases is subacute thyroiditis made up of?
4 phases
What is phase 1 of subacute thyroiditis?
Hyperthyroidism
Painful goitre
Raised ESR
What is phase 2 of subacute thyroiditis?
Euthyroid (normal thyroid function)
What is phase 3 of subacute thyroiditis?
Hypothyroidism
What is phase 4 of subacute thyroiditis?
Thyroid structure and function goes back to normal
What investigations can be done for subacute thyroiditis?
Thyroid scintigraphy
What results from thyroid scintigraphy would confirm subacute thyroiditis?
Globally reduced uptake of iodine-131
What is the management of subacute thyroiditis?
Self-limiting so normally doesn’t require treatment
What can be given for the thyroid pain?
Aspirin or other NSAIDs
What might be required for more severe cases of subacute thyroiditis?
Steroids
What pattern of thyroid blood tests might you expect in the early course of subacute thyroiditis?
Raised T3 and T4
Low or suppressed TSH.
