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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 2169

Clinical data: A 38-yr-old woman requested evaluation. She was treated for subacute de Quervain's thyroiditis with methylprednisolone 17 years ago. Five years later, despite normal TSH level, thyroid replacement therapy was initiated on complaints suggesting hypothyroidism. In the last 3 weeks she occasionally felt pain in the left side of the neck. Her body temperature remained normal.

Palpation: The left lobe was hard and tender on palpation.

Laboratory data: TSH 1.26 mIU/L on daily 75 microgram levothyroxine, CRP 1.5 mg/L (normal value < 5), aTPO 0.5 U/mL.

For details of the case study, click here.