subacute thyroiditis

Question 1

etiology of subacute Subacute De Quervain’s thyroiditis

Answer 1

is thought to occur following viral infection and typically presents with hyperthyroidism

Question 2

x

Answer 2

x

Question 3

x

Answer 3

x

Question 4

what are the typical 4 phases of

Answer 4

Subacute (De Quervain’s) thyroiditis

phase 1 (lasts 3-6 weeks): hyperthyroidism, painful goitre, raised ESR

phase 2 (1-3 weeks): euthyroid

phase 3 (weeks - months): hypothyroidism

phase 4: thyroid structure and function goes back to normal

Question 5

diagnosis of Subacute (De Quervain’s) thyroiditis

Answer 5

thyroid scintigraphy: globally reduced uptake of iodine-131

Question 6

management ?

Answer 6

usually self-limiting - most patients do not require treatment
thyroid pain may respond to aspirin or other NSAIDs
in more severe cases steroids are used, particularly if hypothyroidism develops