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COURSE on THYROID ULTRASOUND

Section 3 Non-nodular thyroid diseases

Part 3 Subacute granulomatous thyroiditis

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Subacute thyroiditis - case 128

Clinical data: A 40-year-old woman 7 months after her delivery requested a second opinion. Hyperthyroidism was diagnosed 5 weeks ago (TSH undetectable, FT4 50.4 pM/L, aTPO 18 U/mL). Non-steroid anti-inflammatory drug was administered. Her complaints were not resolved over the previous 5 weeks. These complaints were fatigue, palpitation, subfebrility and mild neck discomfort. Two days before the present investigation, her endocrinologist suggested daily 60 mg methimazole because her hyperthyroidism had worsened (FT4 68.1 pM/L).

Palpation: The thyroid was minimally tender.

Laboratory data: ESR 78 mm/H.

For details of the case study, click here.