Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2012
A case of severe and recurrent painless thyroiditis requiring thyroidectomy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ishii Hiroaki, Takei Masahiro, Sato Yoshihiko, Ito Tokiko, Ito Ken-ichi, Sakai Yasuhiro, Yumita Wataru, Suzuki Satoru, Komatsu Mitsuhisa
Аннотация
OBJECTIVE: To report a case of severe and recurrent painless thyroiditis requiring thyroidectomy.
CLINICAL PRESENTATION AND INTERVENTION: A 47-year-old man who presented with severe thyrotoxicosis was found to have extremely low radioactive iodine uptake, negative TSH receptor antibodies, and normal C-reactive protein; these findings suggested a diagnosis of painless thyroiditis. Due to the severity and recurrence of thyrotoxicosis, surgical resection of the thyroid gland was performed to prevent a thyrotoxic storm. Histological examination revealed typical lymphoid infiltration of the thyroid gland.
CONCLUSION: This case illustrates that a patient with painless thyroiditis was successfully treated with surgery.
CLINICAL PRESENTATION AND INTERVENTION: A 47-year-old man who presented with severe thyrotoxicosis was found to have extremely low radioactive iodine uptake, negative TSH receptor antibodies, and normal C-reactive protein; these findings suggested a diagnosis of painless thyroiditis. Due to the severity and recurrence of thyrotoxicosis, surgical resection of the thyroid gland was performed to prevent a thyrotoxic storm. Histological examination revealed typical lymphoid infiltration of the thyroid gland.
CONCLUSION: This case illustrates that a patient with painless thyroiditis was successfully treated with surgery.