De Quervain's thyroiditis: Difference between revisions
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{{Infobox_Disease | | {{Infobox_Disease | | ||
Name = De Quervain's thyroiditis | | Name = De Quervain's thyroiditis | | ||
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OMIM = | | OMIM = | | ||
MedlinePlus = | | MedlinePlus = | | ||
eMedicineSubj = | eMedicineSubj = | | ||
eMedicineTopic = | eMedicineTopic = | | ||
MeshID = D013968 | | MeshID = D013968 | | ||
}} | }} | ||
{{SI}} | {{SI}} | ||
{{ | {{CMG}} | ||
==Overview== | |||
'''de Quervain's thyroiditis''', is also known as '''[[subacute]] granulomatous [[thyroiditis]]''' or '''subacute thyroiditis'''; usually occurs in women between 30 and 50 years of age. It is a member of the group of thyroiditis conditions known as resolving thyroiditis. | |||
==Historical Perspective== | |||
It is named for [[Fritz de Quervain]].<ref>{{WhoNamedIt|synd|1139}}</ref> It should not be confused with [[DeQuervain's syndrome]]. | |||
==Causes== | ==Causes== | ||
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[[Corticosteroids]] may be of help in refractory cases. | [[Corticosteroids]] may be of help in refractory cases. | ||
==References== | ==References== | ||
{{reflist|2}} | |||
{{Endocrine pathology}} | {{Endocrine pathology}} | ||
[[Category:Disease]] | |||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category:Thyroid disease]] | [[Category:Thyroid disease]] | ||
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{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
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{{WikiDoc Sources}} | {{WikiDoc Sources}} |
Revision as of 18:22, 20 September 2012
De Quervain's thyroiditis | |
ICD-10 | E06.1 |
---|---|
ICD-9 | 245.1 |
DiseasesDB | 3474 |
MeSH | D013968 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
de Quervain's thyroiditis, is also known as subacute granulomatous thyroiditis or subacute thyroiditis; usually occurs in women between 30 and 50 years of age. It is a member of the group of thyroiditis conditions known as resolving thyroiditis.
Historical Perspective
It is named for Fritz de Quervain.[1] It should not be confused with DeQuervain's syndrome.
Causes
Some cases may be viral in origin, perhaps preceded by an upper respiratory tract infection. Some cases develop postpartum.
Presentation
Patients will experience a hyperthyroid period as the cellular lining of colloid spaces fails, allowing abundant colloid into the circulation, with neck pain and fever. Patients typically then become hypothyroid as the pituitary reduces TSH production and the inappropriately released colloid is depleted before resolving to euthyroid. The symptoms are those of hyperthyroidism and hypothyroidism. In addition, patients may suffer from painful dysphagia. There are multi-nucleated giant cells on histology.
Treatment
Treatment is NSAID.
Corticosteroids may be of help in refractory cases.