最后审阅: 6 十一月 2021
最后更新: 28 三月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 颈疼痛
  • 触痛,坚实,肿大的甲状腺
  • 发热
  • 心悸

其他诊断因素

  • 近期病毒性感染
  • 肌痛
  • 不适感
  • 震颤
  • 怕热

危险因素

  • 病毒感染
  • HLA-Bw35基因和B35基因

诊断性检查

首要检查

  • 促甲状腺素 (TSH)
  • 总T4,总T3,T3树脂吸收水平,游离甲状腺素
  • T3:T4比值
  • 放射性碘摄取
  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
  • 抗甲状腺抗体(甲状腺过氧化物酶抗体)

新兴检查

  • 甲状腺超声扫描
  • 唾液C反应蛋白

治疗流程

撰稿人

作者

Stephanie L. Lee, MD, PhD

Associate Chief

Director of the Thyroid Health Center

Section of Endocrinology, Diabetes and Nutrition

Boston Medical Center

Associate Professor of Medicine

Boston University School of Medicine

Boston

MA

利益声明

SLL declares that she has no competing interests.

同行评议者

Georg Hennemann, MD

Professor of Medicine and Endocrinology

Medical Center Spijkenisse

The Hague

The Netherlands

利益声明

Not disclosed.

Ronald Merrell, MD

Professor of Surgery

Virginia Commonwealth University

Richmond

VA

利益声明

RM declares that he has no competing interests.

Jim Stockigt, MD, FRACP, FRCPA

Consultant Endocrinologist

Epworth and Alfred Hospitals

Professor of Medicine

Monash University

Melbourne

Australia

利益声明

At the time of review, JS declared that he had no competing interests. Unfortunately, we have since been made aware that JS is deceased.

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