没有甲状腺功能障碍的非典型亚急性甲状腺炎:两例病例的报告

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Yuji Nagayama¹, Seigo Tachibana¹, Takashi Fukuda¹

¹Department of Endocrinology, Yamashita Thyroid Hospital, Japan.

Internal medicine (Tokyo, Japan)

|March 4, 2026

概括

两例非典型的亚急性甲状腺炎 (SAT) 病例呈现出疼痛和炎症,但仍然是无甲状腺性. 这突出了SAT的罕见表现,正常的甲状腺功能测试不能排除这种情况.

科学领域:

内分泌学在内分泌学.
内部医学内部医学
甲状腺学甲状腺学

背景情况:

亚急性甲状腺炎 (SAT) 是一种痛苦的甲状腺炎症,通常会导致过渡性甲状腺毒性,随后是甲状腺功能低下和恢复.
目前SAT的诊断标准,例如日本甲状腺协会的诊断标准,通常依赖于甲状腺功能测试异常.

研究的目的:

报告两例罕见的亚急性甲状腺炎 (SAT) 病例,这些病例具有特征性的临床和超声检测结果,但在整个过程中保持正常的甲状腺功能测试.
要强调的是,安甲状腺状态并不排除SAT的诊断,即使当前的诊断标准不完全满足.

主要方法:

两名患者的病例报告呈现前部疼痛,敏感的甲状腺结节,炎症标志物升高,以及特征性的超声检查结果表明SAT.
在整个临床过程中监测甲状腺功能测试 (甲状腺刺激激素,自由T4,自由T3) 和血清甲状腺蛋白水平.

主要成果:

两位患者表现出与SAT一致的症状和成像发现,包括部疼痛,甲状腺敏感,炎症标志物升高和特定的超声波特征.
尽管有这些发现,但两位患者在整个疾病过程中都保持了甲状腺功能正常,甲状腺功能测试正常.
一名患者的血清甲状腺蛋白水平升高,这种标志物有时与甲状腺炎症有关.

结论:

这些病例代表了亚急性甲状腺炎 (SAT) 的罕见乙甲状腺表现.
这些发现挑战了对SAT诊断的甲状腺功能测试的严格依赖,并表明正常的甲状腺功能并不排除SAT.
医生应该考虑SAT在部疼痛和甲状腺炎症的差异诊断中,即使没有明显的甲状腺功能障碍.

关键词:

亚急性甲状腺炎是什么甲状腺球蛋白甲状腺球蛋白甲状腺激素甲状腺激素超声波超声波是指超声波的使用.

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