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Subacute thyroiditis

Last reviewed: 20 Aug 2025
Last updated: 24 Jan 2023

Summary

Definition

Анамнез и осмотр

Ключевые диагностические факторы

  • neck pain
  • tender, firm, enlarged thyroid
  • fever
  • palpitations
Полная информация

Другие диагностические факторы

  • recent viral infection
  • myalgia
  • malaise
  • tremor
  • heat intolerance
Полная информация

Факторы риска

  • viral infection
  • Certain HLA and B35 alleles
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • serum thyroid-stimulating hormone (TSH)
  • serum total T4, total T3, free T3, free T4 index, and free T4
  • T3:T4 ratio
  • radioactive iodine uptake
  • Serum ESR
  • Serum CRP
  • Serum thyroid antibodies (thyroid peroxidase antibodies [TPO Ab])
Полная информация

Исследования, проведение которых нужно рассмотреть

  • fine needle aspiration biopsy
  • complete blood count
Полная информация

Неотложные исследования

  • ultrasonography of thyroid

Алгоритм лечения

Острый

hyperthyroid (thyrotoxic) phase

hypothyroid phase

Составители

Авторы

Angela M. Leung, MD, MSc

Associate Professor of Medicine

UCLA David Geffen School of Medicine

VA Greater Los Angeles Healthcare System

Los Angeles

CA

Раскрытие информации

AL has served on the board of directors of the American Thyroid Association. She is editor-in-chief of Clinical Thyroidology, a journal of the American Thyroid Association. AL is a speaker for Medical Education Resources and MCE Conferences. She has consulted for Vertice Pharma and received article process charges paid by IBSA Institut Biochimique for an invited review article. AL has lectured at a conference sponsored by Merck and presented educational content for the Endocrine Society and the American Association of Clinical Endocrinology. AL is an advisor to Medscape and has received research funding from the U.S. Dept of Veterans Affairs.

Выражение благодарностей

Dr Angela M. Leung would like to gratefully acknowledge Dr Stephanie L. Lee, the previous contributor to this topic.

Раскрытие информации

SLL declares that she has no competing interests.

Рецензенты

Georg Hennemann, MD

Professor of Medicine and Endocrinology

Medical Center Spijkenisse

The Hague

The Netherlands

Раскрытие информации

Not disclosed.

Ronald Merrell, MD

Professor of Surgery

Virginia Commonwealth University

Richmond

VA

Раскрытие информации

RM declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Nishihara E, Ohye H, Amino N, et al. Clinical characteristics of 852 patients with subacute thyroiditis before treatment. Intern Med. 2008;47(8):725-9. Аннотация

Stasiak M, Lewiński A. New aspects in the pathogenesis and management of subacute thyroiditis. Rev Endocr Metab Disord. 2021 Dec;22(4):1027-39.Полный текст  Аннотация

Ross DS, Burch HB, Cooper DS, et al. 2016 American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxicosis. Thyroid. 2016 Oct;26(10):1343-421.Полный текст  Аннотация

Alexander EK, Pearce EN, Brent GA, et al. 2017 guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017 Mar;27(3):315-89.Полный текст  Аннотация

Статьи, указанные как источники

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