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[de Quervain's thyroiditis].

H Schatz

    Deutsche Medizinische Wochenschrift (1946)
    |November 14, 1975
    PubMed
    Summary
    This summary is machine-generated.

    De Quervain's thyroiditis, often presenting acutely, is the most common painful thyroid condition. Standard anti-inflammatory drugs and thyroid hormone effectively treat this inflammatory thyroid disease.

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    Area of Science:

    • Endocrinology
    • Pathology

    Context:

    • De Quervain's thyroiditis is an inflammatory thyroid condition.
    • The term "subacute" may be misleading for this condition.
    • It is the most frequent cause of painful thyroiditis in clinical practice.

    Purpose:

    • To discuss the clinical presentation and management of de Quervain's thyroiditis.
    • To advocate for avoiding the term "subacute" thyroiditis.
    • To highlight typical diagnostic findings and treatment responses.

    Summary:

    • Out of 31 patients with de Quervain's thyroiditis, seven exhibited an acute course.
    • Typical findings include extremely rapid erythrocyte sedimentation rate (ESR) with a normal peripheral leukocyte count.
    • The condition usually resolves within weeks to months, with rare progression to immunothyroiditis or hypothyroidism.

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    Impact:

    • Suggests avoiding the term "subacute" thyroiditis due to its frequent acute presentation.
    • Recommends conventional anti-inflammatory drugs and thyroid hormone as primary treatment.
    • Corticosteroids are reserved for exceptional cases.