De Quervain's thyroiditis history and symptoms: Difference between revisions
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==Symptoms== | ==Symptoms== | ||
De Quervain's thyroiditis usually causes [[hyperthyroidism]] in its acute phase. However, it can also cause hypothyroidism in some cases. | De Quervain's thyroiditis usually causes [[hyperthyroidism]] in its acute phase. However, it can also cause hypothyroidism in some cases.<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref><ref name="pmid12727961">{{cite journal |vauthors=Fatourechi V, Aniszewski JP, Fatourechi GZ, Atkinson EJ, Jacobsen SJ |title=Clinical features and outcome of subacute thyroiditis in an incidence cohort: Olmsted County, Minnesota, study |journal=J. Clin. Endocrinol. Metab. |volume=88 |issue=5 |pages=2100–5 |year=2003 |pmid=12727961 |doi=10.1210/jc.2002-021799 |url=}}</ref><ref name="pmid20886353">{{cite journal |vauthors=Engkakul P, Mahachoklertwattana P, Poomthavorn P |title=Eponym : de Quervain thyroiditis |journal=Eur. J. Pediatr. |volume=170 |issue=4 |pages=427–31 |year=2011 |pmid=20886353 |doi=10.1007/s00431-010-1306-4 |url=}}</ref> | ||
===Hyperthyroidism(in acute phase)=== | ===Hyperthyroidism(in acute phase)=== | ||
Revision as of 16:05, 3 August 2017
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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 hyperthyroidism with the neck pain. A positive history of viral illness and family history of de Quervain's thyroiditis are suggestive of de Quervain's thyroiditis. The most common symptoms of de Quervain's thyroiditis are neck pain, palpitations, tachycardia, nervousness, and tremors.
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 also cause hypothyroidism in some cases.[1][2][3]
Hyperthyroidism(in acute phase)
De Quervain's thyroiditis is usually preceded by a viral prodrome followed by the symptoms of thyrotoxicosis. This phase of thyrotoxicosis lasts for several weeks to few months.
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
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 during the recovery of thyrotoxicosis. This phase usually lasts for four to six months. Rarely, the residual hypothyroidim may persist.
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:
References
- ↑ "Thyroiditis — NEJM".
- ↑ Fatourechi V, Aniszewski JP, Fatourechi GZ, Atkinson EJ, Jacobsen SJ (2003). "Clinical features and outcome of subacute thyroiditis in an incidence cohort: Olmsted County, Minnesota, study". J. Clin. Endocrinol. Metab. 88 (5): 2100–5. doi:10.1210/jc.2002-021799. PMID 12727961.
- ↑ Engkakul P, Mahachoklertwattana P, Poomthavorn P (2011). "Eponym : de Quervain thyroiditis". Eur. J. Pediatr. 170 (4): 427–31. doi:10.1007/s00431-010-1306-4. PMID 20886353.