Clinical data
First examination (first part of the video, signed with 1348-1):
Clinical data: A 37-year-old woman requested checking of her thyroid status before a planned pregnancy.
Palpation: no abnormality.
Laboratory examination: TSH 2.06 mIU/L, aTPO 2 U/mL.
Second examination 13 months later (second part of the video, signed with 1348-2):
Clinical data: The patient noticed neck pain and fever 6 weeks ago. Two weeks before the present visit, both sides of the neck became tender. Non-steroid anti-inflammatory drugs only temporarily ceased her complaints, two courses of antibiotics were ineffective.
Palpation: Both lobes were hard. The left lobe was painful, the right was very tender.
Laboratory tests: TSH 0.001 mIU/L, FT4 22,8 pM/L, FT3 7,03 pM/L, CRP 79 mg/L.
Third examination a year after the first visit (third part of the video, signed with 1348-3):
Clinical data: The patient became free of complaints 6 hours after the first 32 mg-dose of methyl-prednisone and remained so for 4 weeks. When se decreased the dose to 8 mg every second day, the left thyroid became painful. Based on a telephone discussion, the steroid dose was increased. The complaints practically disappeared immediately.
Palpation: no abnormality.
Laboratory tests: TSH 4.01 mIU/L, FT4 9.7 pM/L, CRP 2.4 mg/L.
Topics
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Typical course and ultrasound presentation of subacute granulomatous thyroiditis.
