16岁女性亚急性甲状腺炎和迅速发展的甲状腺肿1例报告

Marcos Estrada, Meriam Avades, María Parra, Patricia Altagracia, Carmen Lazala
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引用次数: 0

摘要

亚急性甲状腺炎(SAT)是一种甲状腺炎症性疾病,具有多种病因和临床特征,通常难以识别。典型的表现是疼痛的肉芽肿性甲状腺炎(DeQuervain 's),其特征是腺体弥漫性肿胀,通常先于上呼吸道感染。一种无痛性甲状腺炎,也被称为自身免疫性亚急性甲状腺炎,有文献记载,与产后状态密切相关,约10%的妊娠报告。它可以通过存在抗甲状腺抗体来与前者区分,这将其归类为自身免疫性甲状腺炎。甲状腺任何自发的疼痛性肿胀都需要进行完整的检查,包括甲状腺激素、甲状腺自身免疫小组、急性期反应物滴度,如果有的话,还需要进行可能导致甲状腺炎炎症或感染性原因诊断的影像学检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Subacute thyroiditis and rapidly developing goiter in a 16-year-old female: a case report
Subacute thyroiditis (SAT) is an inflammatory disease of the thyroid gland with multiple etiologies and clinical features, often challenging to recognize. The classic presentation is the painful, granulomatous thyroiditis (DeQuervain’s) characterized by diffuse swelling of the gland, usually preceded by an upper respiratory tract infection. A painless variant, also referred to as autoimmune subacute thyroiditis, has been documented and is strongly linked to postpartum state, reported following ~10% of pregnancies. It can be differentiated from the former by the presence of anti-thyroid antibodies, which classifies it as an autoimmune thyroiditis. Any spontaneous development of painful swelling of the thyroid gland warrants a complete work up that includes thyroid hormones, thyroid autoimmune panel, acute phase reactant titers, and, if available, imaging that may lead to the diagnosis of an inflammatory or infectious cause of thyroiditis.
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