De Quervain's thyroiditis classification: Difference between revisions

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Revision as of 21:28, 23 August 2017

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

De Quervain's thyroiditis can be classified according to the development of symptoms into the prodromal stage, hyperthyroid stage, euthyroid stage, and hypothyroid stage.

Classification

De Quervain's thyroiditis can be classified according to the development of symptoms into the following stages:^[1]^[2]^[3]

1. Prodromal stage

Prodromal stage includes low-grade fever and viral flu-like symptoms, such as sore throat, myalgia, arthralgia, and malaise.

2. Hyperthyroid stage

It follows the prodromal stage and includes the symptoms of thyrotoxicosis.

3. Euthyroid stage

Thyroid hormones are within the normal range and there are no specific symptoms. Euthyroid phase usually lasts for 1–3-weeks.

4. Hypothyroid stage

Thyroid hormones are decreased as a result of glandular damage and this stage usually lasts for 6-12 months.

References

↑ "Thyroiditis — NEJM".
↑ 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.
↑ Leibovitch G, Maaravi Y, Shalev O (1989). "Severe facial oedema and glossitis associated with mianserin". Lancet. 2 (8667): 871–2. PMID 2571803.

[urlThyroiditis_—_NEJM-1] "Thyroiditis — NEJM".

[pmid20886353-2] 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.

[pmid2571803-3] Leibovitch G, Maaravi Y, Shalev O (1989). "Severe facial oedema and glossitis associated with mianserin". Lancet. 2 (8667): 871–2. PMID 2571803.

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@@ Line 8: / Line 8: @@
 === 1. Prodromal stage ===
-It includes:
+Prodromal stage includes [[low-grade fever]] and viral flu-like symptoms, such as [[sore throat]], [[myalgia]], [[arthralgia]], and [[malaise]].
-*[[Low-grade fever]] and viral flu-like symptoms, such as [[sore throat]], [[myalgia]], [[arthralgia]], and [[malaise]].
-*[[Fever|High-grade fever]] and [[neck pain]] with a tender and diffuse [[thyroid gland]] enlargement follow flu-like symptoms.
 ===2. Hyperthyroid stage===
-It follows the prodromal stage and includes the symptoms of [[thyrotoxicosis]] such as:
+It follows the prodromal stage and includes the symptoms of [[thyrotoxicosis]].
-*[[Tachycardia]] and [[Tremor|tremors]]
-*[[Irritability]] and [[nervousness]]
 ===3. Euthyroid stage===
-Thyrotoxic stage is followed by a 1–3-week period of [[Euthyroid|euthyroid phase]].
+Thyroid hormones are within the normal range and there are no specific symptoms. [[Euthyroid|Euthyroid phase]] usually lasts for 1–3-weeks.
 ===4. Hypothyroid stage===
-The transient hypothyroid stage lasts for 6-12 months.
+Thyroid hormones are decreased as a result of glandular damage and this stage usually lasts for 6-12 months.
-*Rarely, the [[hypothyroid]] stage may persist for a longer duration.
 ==References==
 {{reflist|2}}