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Condition Info
ConditionName
Subacute thyroiditis
ConditionDescription
Symptoms
Pain in the anterior neck and fever; Neck pain characteristically shifts from side to side and may settle in one area, frequently radiating to the jaw and ears. Often confused with dental pain, pharyngitis, or otitis and is aggravated by swallowing or turning of the head; Symptoms of hyperthyroidism(common early in the disease because of hormone release from the disrupted follicles);
PhysicalFindings
Asymmetrically enlarged, firm, and tender thyroid
ClinicalTests
Clinical findings; ↑ESR; ↓uptake on the thyroid scan; ↑Free T4; ↑Triiodothyronine (T3); ↓Thyroid-stimulating hormone (TSH); Radioactive iodine uptake;
RiskFactors
IsRedFlag
IsNPLEX
Consequence
Self-limited, generally subsiding in a few months; Occasionally, it recurs and may result in permanent hypothyroidism when follicular destruction is extensive.
ProgressionFromCondition
TreatmentOptions
PharmOptions
Aspirin; NSAIDs; BB;
WebLink
https://www.merckmanuals.com/en-ca/professional/endocrine-and-metabolic-disorders/thyroid-disorders/subacute-thyroiditis
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