Abstract
Inflammatory diseases of the thyroid can be classified into three broad categories: acute, subacute and chronic thyroiditis. Subacute disease includes granulomatous or De Quervains thyroiditis and lymphocytic thyroiditis or silent thyroiditis. The gland swells up and is very painful and tender. As thyroid hormones are discharged into the blood, patient becomes hyperthyroid clinically but the gland cannot take up iodine so the radioactive iodine uptake is very low. The hyperthyroidism generally resolves after a few weeks. The relief of pain by giving NSAID or steroids in this condition is so dramatic as to be almost diagnostic. A 40 year old man, hailing from Nawabganj, Dhaka was diagnosed as De Quervains thyroiditis and treated successfully. In this report, the case condition, procedures of diagnosis and treatment are reported in details.Mediscope Vol. 4, No. 1: Jan 2017, Page 35-37
Highlights
Classical sub-acute thyroiditis is painful transient inflammation of the thyroid gland occurring after infection with Coxsackie, mumps or adenoviruses
The thyroid gland is generally resistant to infection because of its rich vascular supply, protective capsule and high iodine content
Tomer and Davies reviewed a group of studies which showed that both thyroiditis and autoantibodies to thyroid antigens could be induced by viral infections in mice, rats and chicken.[2]
Summary
Introduction Classical sub-acute thyroiditis is painful transient inflammation of the thyroid gland occurring after infection with Coxsackie, mumps or adenoviruses. Painless transient thyroiditis can occur after viral infection and in patients with underlying autoimmune disease. Inflammatory diseases are the most common thyroid disorders encountered in clinical practice.
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