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Thyroiditis: unusual mimics.
Arun Shirali1, Priyanka Arun Shirali2, Santhoor Vijendra Shenoy3
1Department of General Medicine, Kasturba Medical College Hospital, Attavar, Mangalore - 575001, India,
The Journal of the Royal College of Physicians of Edinburgh
|September 16, 2021
Summary
Thyroiditis, an inflammation of the thyroid gland, can present unusually. These cases show thyroiditis co-existing with vocal cord paralysis and tonsillitis, emphasizing diagnostic challenges.
Area of Science:
- Endocrinology
- Otolaryngology
Background:
- Thyroiditis, encompassing infectious and autoimmune causes, presents diverse clinical manifestations.
- Accurate diagnosis and timely treatment of thyroiditis pose challenges for clinicians.
Observation:
- Two female patients presented with distinct symptoms: one with voice changes and throat discomfort, the other with high fever and dysphagia.
- Diagnostic workup revealed findings suggestive of thyroiditis in both, including vocal cord paralysis and enlarged cervical lymphadenopathy in the first, and tonsillitis with lymphadenopathy in the second.
Findings:
- Both patients received treatment including steroids, antipyretics, and antibiotics, leading to recovery and asymptomatic follow-up.
- The first patient's vocal cord paralysis resolved, and both patients normalized thyroid function tests within three months.
Implications:
- These cases underscore that thyroiditis can manifest concurrently with other conditions, such as benign vocal cord palsy.
- Thyroiditis may also coexist with local inflammatory processes, like tonsillitis, highlighting the need for comprehensive patient assessment.
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