Abstract

GUZMAN GARCIA, María Belén  and  MORALES CANO, José Manuel. Pain in the thyroid lobule: subacute (de De Quervain's) Thyroiditis. Rev Clin Med Fam [online]. 2021, vol.14, n.1, pp.37-39.  Epub Mar 22, 2021. ISSN 2386-8201.

We report a case of subacute thyroiditis in a 51-year-old man who began to present non-specific symptoms of low grade fever and intense asthenia of a few days clinical course. A vet by profession, the initial suspicion was tick bite. Full analysis with serology and chest x-ray was initially requested. After four days we received the results of the tests requested. Some high acute phase reactant values and a depressed TSH with a free T4 value of 2.56 ng/dl were notable. At this same time, given the suspicion of symptoms of subacute thyroiditis, we performed thyroid ultrasound and obtained images compatible with our suspicions. We commenced treatment with NSAIDs and continued corticosteroids and periodic ultrasound controls in our consultation, until the clinical picture resolved.

De Quervain thyroiditis is a pathology which - given the non-specific clinical symptoms it can begin with and their spontaneous resolution - may go unnoticed in our primary care consultations.

Keywords : De Quervain Thyroiditis; Hyperthyroidism; Neck Pain; Subacute Thyroiditis; Thyroiditis.

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