De Quervain's Thyroiditis

Endocrinology

Overview

Definition

Subacute granulomatous inflammation of the thyroid.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Post-viral infection.

Clinical Symptoms

  • Exquisitely tender thyroid
  • fever
  • transient hyperthyroidism followed by hypothyroidism.

Clinical Approach

Diagnosis

  • Elevated ESR/CRP
  • low radioiodine uptake.

Management

  • NSAIDs
  • Aspirin
  • Beta-blockers.

Complications

  • Permanent hypothyroidism (rare).