Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

["Subacute thyreoiditis" without response on corticosteroid therapy].

C Pfeiffer1, G Schulthess

  • 1Medizinische Poliklinik, Departement Innere Medizin, Universitätsspital Zürich.

Praxis
|June 9, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The black summer bushfires: impacts and risk factors for livestock bushfire injury in south-eastern Australia.

Australian veterinary journal·2022
Same author

Surgical management of superficial digital flexor tendon luxation in dogs: 48 cases (2005-2020).

The Journal of small animal practice·2021
Same author

[Reality of inpatient vasoactive treatment with prostacyclin derivatives in patients with acral circulation disorders due to systemic sclerosis in Germany].

Zeitschrift fur Rheumatologie·2020
Same author

Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis.

Arthritis care & research·2019
Same author

Clinical response of psoriasis to subcutaneous methotrexate correlates with inhibition of cutaneous T helper 1 and 17 inflammatory pathways.

The British journal of dermatology·2019
Same author

Synchrotron radiation from an accelerating light pulse.

Science (New York, N.Y.)·2018
Same journal

Praxis·2026
Same journal

[What do Swiss doctors think about cardiovascular risk factors and guidelines?]

Praxis·2026
Same journal

[Laser interstitial thermotherapy (LITT): a minimally invasive neurosurgical treatment option for brain tumours and radiation necrosis].

Praxis·2026
Same journal

[Persistent back pain after lifting trauma. From the trivial to the rare case].

Praxis·2026
Same journal

[A patient with dizziness and gait instability - a diagnostic challenge].

Praxis·2026
Same journal

[Meningoencephalitis caused by listeria monocytogenes].

Praxis·2026
See all related articles

Subacute thyroiditis can mimic other serious conditions. This case highlights the importance of re-evaluating diagnoses when initial treatments fail, revealing underlying coronary artery disease.

Area of Science:

  • Cardiology
  • Endocrinology
  • Internal Medicine

Background:

  • Subacute thyroiditis (de Quervain) is typically diagnosed based on clinical and laboratory findings, with pain relief expected from anti-inflammatory treatments.
  • Atypical presentations warrant thorough re-evaluation to rule out other pathologies, especially when standard treatment is ineffective.

Observation:

  • A 49-year-old female presented with neck pain and thyroidal tenderness, initially diagnosed as subacute thyroiditis.
  • Despite oral corticosteroid treatment, her pain persisted, necessitating further investigation.
  • Clinical examination revealed a pain-relieving posture (forward neck flexion).

Findings:

  • Extensive workup, including thyroid ultrasound, neck CT, and ENT examination, did not identify the cause of pain.

Related Experiment Videos

  • Electrocardiography revealed subacute infero-posterior myocardial infarction.
  • Coronary angiography identified severe two-vessel coronary artery disease, linked to long-term tobacco use (35 pack-years).

    • Implications:

    • This case underscores the critical need to reconsider diagnoses, particularly when symptoms of subacute thyroiditis do not respond to standard therapy.
    • Persistent neck or thoracic pain unresponsive to initial treatment may indicate serious underlying conditions like coronary artery disease.
    • Prompt and comprehensive diagnostic evaluation is essential for accurate diagnosis and timely management of potentially life-threatening conditions.