Tiroiditis subaguda: revisión a partir de un caso clínico

Abstract

Subacute thyroiditis is known also as subacute granulomatous thyroiditis or de Quervain's thyroiditis, it's an inflammation of the thyroid gland of presumed viral aetiology. It's a disorder non frecuently (5%), but is themost common cause of a painful thyroid gland. The symptoms beginning with an intensive asthenia, malaise, and frecuently pain in the region of the thyroid gland secondary to distention of the gland capsule 1 . The most important laboratory data in the acute phase is the relation with the degree of thyroid damage caused: ERS (erythrocyte sedimentation rate) elevated serum leves of the T4 L and T3 L, elevated serum TSH (Thyroid-Stimulating Hormone) and low concentration to undetectable and depressed RAIU (radioactive iodine uptake). When the symptoms are not very intensive, are indicated drugs as NSAID (nonsteroidal anti-inflamatory drugs), but in transient hyperthyroidism or more severe disease may be indicated beta blockers and oral steroids 2 . The disease progress in a few months, after retourning to normality and the relapse is rare 3 , Below we descibe the clinical case of a woman that attends to consultation by asthenia, fever and pain in the previous face of the neck on one week evolution; we accomplish a bibliographical review of the disease.