DR Medhat MRCP

Thyroiditis
- i.e Inflammation of thyroid gland
- Clinical types include Acute (suppurative) thyroiditis.
Subacute (De Quervian) thyroiditis.
Chronic lymphocytic (Hashimoto) thyroiditis.
Riedle`s (fibrotic) thyroiditis.
Subacute (De Quervian) thyroiditis
- Fairly common especially in young & middle aged females.
سؤال hyperthyroidism. - It occur following viral infection & typically present with
- Features :
a) Hyperthyroidism.
b) Diffusely Painful& tender goiter. (NB if acute ,unilateral,painful = hge into cyst)
c) Raised ESR.
سؤال finding) d) Globally reduced uptake on 99m Tc/ 131 I scan (typical
- Management :
Usually self-limiting - most patients do not require treatment
Thyroid pain may respond to aspirin or other NSAIDs
In more severe cases steroids are used, particularly if hypothyroidism develops
Hashimoto`s thyroiditis
- Is an autoimmune disorder of the thyroid gland (the most common type of thyroiditis)
سؤال - It is typically associated with hypothyroidism although there may be a transient
thyrotoxicosis in the acute phase.
- It is 10 times more common in women.
- Features
Features of hypothyroidism.
Goitre: firm, non-tender
Positive Microsomal antibodies.
Anti-thyroid peroxidase .
Anti-Tg antibodies.
اللهم اني أعوذ بك من أن أشرك بك شيئا أعلمه وأستغفرك لما ال أعلمه