https://scholars.lib.ntu.edu.tw/handle/123456789/496671
標題: | Subacute thyroiditis presenting as fever of unknown origin: A case report and literature review | 作者: | Chen Y.-S. Su D.-H. Hsiao Y.-L. TIEN-CHUN CHANG |
關鍵字: | Fine needle aspiration cytology; Subacute thyroiditis; Thyroid ultrasonography; Thyrotoxicosis | 公開日期: | 2004 | 卷: | 15 | 期: | 1 | 起(迄)頁: | 30-34 | 來源出版物: | Journal of Internal Medicine of Taiwan | 摘要: | Subacute thyroiditis (SAT) is often overlooked and misdiagnosed as pharyngitis, but well documented cause of fever of unknown origin. We hereby reported a case of fever of unknown origin in a 42-year-old female with SAT. She presented with high fever for more than two weeks and previous history of upper respiratory infection, followed by thyrotoxicosis. After the examinations of thyroid sonography and fine needle aspiration cytology (FNAC), the diagnosis of SAT was confirmed. She was administrated with prednisolone. The symptoms and signs were improved dramatically. The clinical manifestations of SAT are painful thyroid, a rise in ESR and thyroglobulin, depressed RAIU and echoic hypogenisity. Depending on the physician's attitude and local availability, FNAC, ultrasound or scintigraphy may support the diagnosis. Although SAT is a self-limited disease, the purpose of medications is for relief of symptom only. Therapy with antithyroid agents and antibiotics is not suggested. The reason for follow-up of SAT is to survey the relapse and permanent hypothyroidism. Physical examination and thyroid sonography and FNAC are the convenient methods for the physician to follow up and further management of SAT. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-1942499780&partnerID=40&md5=f63cbb64f3b5c02cc6cabdee78b783f5 https://scholars.lib.ntu.edu.tw/handle/123456789/496671 |
ISSN: | 1016-7390 | SDG/關鍵字: | antibiotic agent; antithyroid agent; glucocorticoid; prednisolone; radioactive iodine; thyroglobulin; adult; article; aspiration biopsy; case report; erythrocyte sedimentation rate; female; fever; follow up; human; human tissue; hypothyroidism; physical examination; physician attitude; pyrexia idiopathica; recurrence risk; subacute thyroiditis; symptomatology; thyroid scintiscanning; thyrotoxicosis; treatment outcome; ultrasound; upper respiratory tract infection |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。