De Quervain's thyroiditis diagnostic criteria: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
m Bot: Removing from Primary care |
||
| (13 intermediate revisions by 2 users not shown) | |||
| Line 4: | Line 4: | ||
{{CMG}}; {{AE}} {{MMF}} | {{CMG}}; {{AE}} {{MMF}} | ||
==Overview== | ==Overview== | ||
There are no established criteria for the diagnosis of de Quervain's thyroiditis but painful [[Thyroid mass causes|thyroid mass]], decreased [[radioactive iodine]] uptake, elevated [[ESR]], serum [[T3]], and [[T4]] are helpful in diagnosing de Quervain's thyroiditis. | |||
==Diagnostic Criteria== | |||
There are no established criteria for the diagnosis of de Quervain's thyroiditis but the following history and lab findings can lead to the diagnosis of de Quervain's thyroiditis.<ref name="pmid25905408">{{cite journal |vauthors=De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, Shrestha RT, Hennessey J |title=Acute and Subacute, and Riedel’s Thyroiditis |journal= |volume= |issue= |pages= |year= |pmid=25905408 |doi= |url=}}</ref> | There are no established criteria for the diagnosis of de Quervain's thyroiditis but the following history and lab findings can lead to the diagnosis of de Quervain's thyroiditis.<ref name="pmid25905408">{{cite journal |vauthors=De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, Shrestha RT, Hennessey J |title=Acute and Subacute, and Riedel’s Thyroiditis |journal= |volume= |issue= |pages= |year= |pmid=25905408 |doi= |url=}}</ref> | ||
*Painful thyroid swelling | *Painful [[Thyroid mass causes|thyroid swelling]] | ||
*Elevated ESR | *Elevated [[ESR]] | ||
*Elevated serum T4, T3 | *Elevated serum [[T4]], [[T3]] '''in [[thyrotoxicosis]]''' | ||
*Elevated thyroglobulin concentrations | *Elevated [[thyroglobulin]] concentrations | ||
*RAIU (Radioactive iodine uptake) near zero | *[[Radioactive iodine|RAIU]] (Radioactive iodine uptake) near zero | ||
===Stepwise clinical diagnosis of de Quervain's thyroiditis=== | |||
The following flowchart describes the clinical approach to the diagnosis of de Quervain's thyroiditis. | |||
{{familytree/start |summary=Sample 1}} | |||
{{familytree | | | | | | | | | | | | A01 | | |A01=Neck pain}} | |||
{{familytree | | | | | | |,|-|-|-|-|-|^|-|-|-|-|-|-|.| | | | }} | |||
{{familytree | | | | | | B01 | | | | | | | | | | | B02 | | |B01=Yes|B02=No}} | |||
{{familytree | | | | | | |!| | | | | | | | | | | | |!| }} | |||
{{familytree | | | | | | C01 | | | | | | | | | | | C02 |C01=[[RAIU]]*|C02=Presenting symptoms and [[TFTs]]‡}} | |||
{{familytree | | | | |,|-|^|-|-|.| | | | | | | |,|-|^|-|-|-|v|-|-|-|.| }} | |||
{{familytree | | | | D01 | | | D02 | | | | | | D03 | | | | D04 | |D05|D01=Increased|D02=Decreased|D03=[[Hyperthyroid]]|D04=[[Hypothyroid]]|D05=[[Euthyroid]]}} | |||
{{familytree | | | | |!| | | | |!| | | | | | | |!| | | | | |!| | | |!|}} | |||
{{familytree | | | | |!| | | | |!| | | | | | | H01 | | | | |!| | | |!|H01=[[RAIU]]*}} | |||
{{familytree | | | | |!| | | | |!| | | | | |,|-|^|-|.| | | |!| | | |!|}} | |||
{{familytree | | | | E01 | | | E04 | | | | E02 | | E03 | | E05 | | |E06 |E01=Suppurative [[thyroiditis]]|E02=Increased|E03=Decreased|E04='''De Quervain's thyroiditis'''|E05=[[Hashimoto's thyroiditis]]|E06=[[Riedel's thyroiditis]]††}} | |||
{{familytree | | | | | | | | | | | | | | | |!| | | |!| }} | |||
{{familytree | | | | | | | | | | | | | | | F01 | | F02 |F01=[[Grave's disease]]†|F02= | |||
[[Silent thyroiditis]] | |||
[[Postpartum thyroiditis]]}} | |||
{{familytree/end}} | |||
<small>‡TFT; Thyroid function tests(TSH, T4, and T3), †[[Grave's disease]] is not a thyroiditis, *RAIU; Radioiodine uptake.††One third of [[Riedel's thyroiditis]] presents with [[hypothyroidism]].</small> | |||
<small> | |||
<br> | |||
Table modified from <ref name="urlThyroiditis: Differential Diagnosis and Management - American Family Physician">{{cite web |url=http://www.aafp.org/afp/2000/0215/p1047.html#afp20000215p1047-b7 |title=Thyroiditis: Differential Diagnosis and Management - American Family Physician |format= |work= |accessdate=}}</ref></small> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
| |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Medicine]] | |||
[[Category:Endocrinology]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 21:13, 29 July 2020
|
De Quervain's thyroiditis Microchapters |
|
Differentiating De Quervain's thyroiditis from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
There are no established criteria for the diagnosis of de Quervain's thyroiditis but painful thyroid mass, decreased radioactive iodine uptake, elevated ESR, serum T3, and T4 are helpful in diagnosing de Quervain's thyroiditis.
Diagnostic Criteria
There are no established criteria for the diagnosis of de Quervain's thyroiditis but the following history and lab findings can lead to the diagnosis of de Quervain's thyroiditis.[1]
- Painful thyroid swelling
- Elevated ESR
- Elevated serum T4, T3 in thyrotoxicosis
- Elevated thyroglobulin concentrations
- RAIU (Radioactive iodine uptake) near zero
Stepwise clinical diagnosis of de Quervain's thyroiditis
The following flowchart describes the clinical approach to the diagnosis of de Quervain's thyroiditis.
| Neck pain | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes | No | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RAIU* | Presenting symptoms and TFTs‡ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Increased | Decreased | Hyperthyroid | Hypothyroid | Euthyroid | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RAIU* | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Suppurative thyroiditis | De Quervain's thyroiditis | Increased | Decreased | Hashimoto's thyroiditis | Riedel's thyroiditis†† | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Grave's disease† | Silent thyroiditis
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
‡TFT; Thyroid function tests(TSH, T4, and T3), †Grave's disease is not a thyroiditis, *RAIU; Radioiodine uptake.††One third of Riedel's thyroiditis presents with hypothyroidism.
Table modified from [2]
References
- ↑ De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R, New M, Purnell J, Rebar R, Singer F, Vinik A, Shrestha RT, Hennessey J. "Acute and Subacute, and Riedel's Thyroiditis". PMID 25905408.
- ↑ "Thyroiditis: Differential Diagnosis and Management - American Family Physician".