De Quervain's thyroiditis history and symptoms
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De Quervain's thyroiditis Microchapters |
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Differentiating De Quervain's thyroiditis from other Diseases |
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Diagnosis |
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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
The hallmark of de Quervain's thyroiditis is hypothyroidism. A positive history of autoimmune diseases and certain drug use are suggestive of Hashimoto's thyroiditis. The most common symptoms of Hashimoto's thyroiditis include fatigue, constipation, and cold intolerance.
History
Patients with de Quervain's thyroiditis usually have the history of viral illness and family history of de Quervain's thyroiditis.
Symptoms
De Quervain's thyroiditis usually causes hyperthyroidism in its acute phase. However, it can cause hypothyroidism in some cases. Hyperthyroidism resulting from de Quervain's thyroiditis can cause these symptoms:
Hyperthyroidism(in acute phase)
De Quervain's thyroiditis is usually preceded by a viral prodrome followed by the symptoms of thyrotoxicosis.
General
The patient may have the following general symptoms:
- Myalgias
- Low-grade fever
- Fatigue
- Weight loss
Localized
The patient may have:
- Severe neck pain
- Radiation of pain to the ears and/or jaw
- Neck swelling
Gastrointestinal system
The patient may have:
Cardiovascular system
The patient may have:
- Palpitations
- Tachycardia
Neuro-psychiatric system
The patient may have:
- Nervousness
- Irritability
- Tremors
Skin and appendages
The patient may have:
- Sweating
Hypothyroidism(in later stage)
The symptoms of hypothyroidism may develop in the later stages of de Quervain's thyroiditis.
General
The patient may have:
- Fatigue
- Lethargy
- Cold intolerance
- Myxedema
- Weight gain
- Weight loss
- Migraines
- Puffy face
Localized symptoms
The patient may have:
- Enlarged neck or presence of goiter
- Dysphonia (from involvement of the recurrent laryngeal nerve)
- Dyspnea (from the compression of the trachea)
- Dysphagia (from impingement upon the esophagus)
- Small or shrunken thyroid gland (late in the disease)
Gastrointestinal system
The patient may have:
Skin and appendages
The patient may have:
Neuro-psychiatric system
The patient may have:
- Depression
- Difficulty concentrating or thinking
- Mania
- Memory loss
- Panic attacks
Reproductive system
The patient may have:
Musculoskeletal
The patient may have: