COURSE on THYROID ULTRASOUND

Section 3 Non-nodular thyroid diseases

Part 3 Subacute granulomatous thyroiditis

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Subacute thyroiditis - case 1514 - part 1

Clinical data: A 47-year-old woman was referred for evaluation of complaints suggesting subacute thyroiditis. She has had neck complaints and subfebrility for a month. First, the right lobe became painful, two weeks later the pain migrated to the left lobe. Non-steroid anti-inflammatory drug and 20 mg methimazole were administered by the GP. The complaints relieved 10 days before the present examination. A week after the beginning of the complaints, the CRP was 107 mg/L, the FT4 39.1 pM/L.

Palpation: Both lobes were firm, the left lobe was a bit tender on palpation.

Laboratory data: TSH 0.01 mIU/L, FT4 17.9 pM/L, CRP 3.0 mg/L.

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