subacute thyroiditis
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Classification
Pathology
- see thyroiditis
Clinical manifestations
- see thyroiditis
Laboratory
- see thyroiditis
Radiology
- see thyroiditis
Differential diagnosis
- Graves disease
- distinguishing features of Graves disease from subacute thyroiditis include thyroid bruit, Graves ophthalmopathy, dermopathy[1]
- thyrotoxicosis after exposure to iodine containing contrast media[2]
- multinodular goiter
- thyrotoxicosis after exposure to iodine containing contrast media[2]
- goiter, thyroid nodules
Management
- non-steroidal anti-inflammatory drugs (NSAIDs)
- prednisone 20-40 mg QD
- severe cases not responding to other therapy
- taper after 1 week with discontinuation in 2-4 weeks
- restart if pain recurs
- propranolol 20-40 mg PO QID or atenolol for hyperthyroidism
More general terms
More specific terms
- subacute granulomatous thyroiditis; De Quervain's thyroiditis; giant-cell thyroiditis
- subacute lymphocytic thyroiditis
References
- ↑ Jump up to: 1.0 1.1 Medical Knowledge Self Assessment Program (MKSAP) 18, American College of Physicians, Philadelphia 2018
- ↑ Jump up to: 2.0 2.1 2.2 NEJM Knowledge+ Endocrinology