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Subacute thyroiditis
Autoimmune thyroiditis
Riedel’s thyroiditis
Acute suppurative thyroiditis
SUBACUTE THYROIDITIS
Granulomatous or de Quervain’s thyroiditis
Probably viral origin
Painful swelling of one or both thyroid lobes,
malaise, fever
Preceding history of sore throat or viral infection
a week or two before the onset of thyroid
symptoms
Symptoms and signs of hyperthyroidism
Thyroid hormone levels raised but low uptake of
radioactive iodine, ESR is raised
SUBACUTE THYROIDITIS
The disease process is self-limiting with resolution of
local sy. and thy. dysfunction
Few pts. pass through a mild hypothyroid phase
Local sy.-aspirin, steroids
Transient hyperthyroidism does not require
antithyroid drugs
AUTOIMMUNE THYROIDITIS
Diffuse process throughout the thyroid gland-
Hashimoto’s disease
Infiltration of thyroid by lymphocytes and plasma
cells
Immunological disorder- serum thyroid ab.
Hypothyroidism- thyroxine, steroids
Nodule present- FNAC to rule out lymphoma
RIEDEL’S THYROIDITIS