Related Experiment Videos
Tender neck in a diabetic patient
1Department of Medicine, King Abdul-Aziz University Hospital, Jeddah 21942, Kingdom of Saudi Arabia. karifaiza@hotmail.com
Saudi Medical Journal
|July 9, 2003
Summary
Subacute granulomatous thyroiditis, a neck pain and sore throat cause, was diagnosed in a diabetic patient. Treatment with anti-inflammatory drugs and corticosteroids led to rapid symptom improvement.
Area of Science:
- Endocrinology
- Internal Medicine
- Rheumatology
Background:
- Subacute granulomatous thyroiditis (SGT), also known as de Quervain's thyroiditis, is an inflammatory condition of the thyroid gland.
- It often presents with neck pain, sore throat, and sometimes fever, mimicking other conditions.
- Type 2 diabetes mellitus is a common comorbidity in the general population.
Observation:
- A 45-year-old Indian patient with type 2 diabetes mellitus presented with a one-month history of left-sided neck pain and sore throat.
- Diagnostic workup included radiological confirmation of SGT.
- Radioactive iodine uptake was notably depressed, a key diagnostic indicator for SGT.
Findings:
- The patient received a diagnosis of subacute granulomatous thyroiditis.
- Treatment involved anti-inflammatory drugs and corticosteroids.
- Significant clinical improvement and symptom relief were observed within 24 hours of treatment initiation.
Implications:
- This case highlights the importance of considering SGT in patients presenting with neck pain and sore throat, especially those with underlying conditions like diabetes.
- Prompt diagnosis and treatment with anti-inflammatory agents and corticosteroids can lead to rapid symptom resolution.
- The findings underscore the effectiveness of conservative management for SGT.