在甲状腺细针吸入后长期和复发的德奎尔温甲状腺炎
Kyrstin Lane1, Brendan Pelikh2, Jianyu Rao3
1Endocrinology, Diabetes and Metabolism, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, USA.
Cureus
|August 12, 2025
概括
德奎尔温的甲状腺炎是一种自我限制的甲状腺炎症,可以通过细针吸收 (FNA) 来复杂化. 这种情况表明,在怀疑的De Quervain甲状腺炎中避免FNA,以防止长时间的炎症.
科学领域:
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 德奎尔温甲状腺炎 (次急性甲状腺炎) 是甲状腺的短暂炎症状况.
- 诊断依赖于临床表现,体检,实验室测试和成像,细针吸收 (FNA) 通常保留给不明确的病例或恶性瘤的怀疑.
研究的目的:
- 为了呈现De Quervain的甲状腺炎病例与炎症结节.
- 讨论甲状腺FNA对亚急性甲状腺炎的临床过程的潜在影响.
- 突出诊断策略,可以避免不必要的侵入性手术.
主要方法:
- 一个75岁的男性病例报告,症状暗示De Quervain的甲状腺炎.
- 包括甲状腺细针吸收 (FNA) 进行结节评估.
- 临床过程监测和串行甲状腺超声波评估.
主要成果:
- 该患者出现了De Quervain甲状腺炎的症状和炎症性甲状腺结节.
- 甲状腺FNA进行了进一步评估.
- 在FNA后观察到延长的临床过程,据推测是由于甲状腺炎症恶化.
结论:
- 区分De Quervain的甲状腺炎与甲状腺疼痛的其他原因至关重要.
- 系列甲状腺超声波可以帮助诊断,并可能避免需要FNA.
- 在De Quervain甲状腺炎的背景下,不必要的FNA可能会导致长时间的炎症.
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