Subacute thyroiditis presenting as a painful suspicious thyroid nodule
We report a case of subacute thyroiditis in a 40-year-old female who initially presented with painful thyroid nodules without clinical and biochemical evidence of hyperthyroidism. Thyroid ultrasound was done to evaluate the thyroid nodules and fine-needle aspiration (FNA) was performed in view of th...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Bioscientifica
2022-04-01
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| Series: | Endocrinology, Diabetes & Metabolism Case Reports |
| Online Access: | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM21-0135.xml |
| _version_ | 1811304036572332032 |
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| author | Wanling Zeng Sophie Tan Thomas Frederick James King |
| author_facet | Wanling Zeng Sophie Tan Thomas Frederick James King |
| author_sort | Wanling Zeng |
| collection | DOAJ |
| description | We report a case of subacute thyroiditis in a 40-year-old female who initially presented with painful thyroid nodules without clinical and biochemical evidence of hyperthyroidism. Thyroid ultrasound was done to evaluate the thyroid nodules and fine-needle aspiration (FNA) was performed in view of the suspicious features. As the FNA showed a follicular lesion of undetermined significance or atypia of undetermined significance (FLUS/AUS, Bethesda III), she was advised for surgical excision. She was subsequently diagnosed with subacute thyroiditis based on her clinical symptoms, biochemical evidence of hyperthyroidism, raised erythrocyte sedimentation rate (ESR) as well as low uptake on thyroid scintigraphy. The thyroid lesions disappeared after symptomatic treatment. It is important to recognise that subacute thyroiditis can present with painful thyroid lesions with ultrasound features similar to suspicious thyroid nodules which can resolve with the resolution of the thyroiditis. |
| first_indexed | 2024-04-13T07:59:51Z |
| format | Article |
| id | doaj.art-2018f3b679bb4cf1b1244ff92ff2c862 |
| institution | Directory Open Access Journal |
| issn | 2052-0573 |
| language | English |
| last_indexed | 2024-04-13T07:59:51Z |
| publishDate | 2022-04-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism Case Reports |
| spelling | doaj.art-2018f3b679bb4cf1b1244ff92ff2c8622022-12-22T02:55:19ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732022-04-01111510.1530/EDM-21-0135Subacute thyroiditis presenting as a painful suspicious thyroid noduleWanling Zeng0Sophie Tan1Thomas Frederick James King2Department of Endocrinology, Changi General Hospital, Singapore, SingaporeNational University of Singapore, Singapore, SingaporeDepartment of Endocrinology, Changi General Hospital, Singapore, SingaporeWe report a case of subacute thyroiditis in a 40-year-old female who initially presented with painful thyroid nodules without clinical and biochemical evidence of hyperthyroidism. Thyroid ultrasound was done to evaluate the thyroid nodules and fine-needle aspiration (FNA) was performed in view of the suspicious features. As the FNA showed a follicular lesion of undetermined significance or atypia of undetermined significance (FLUS/AUS, Bethesda III), she was advised for surgical excision. She was subsequently diagnosed with subacute thyroiditis based on her clinical symptoms, biochemical evidence of hyperthyroidism, raised erythrocyte sedimentation rate (ESR) as well as low uptake on thyroid scintigraphy. The thyroid lesions disappeared after symptomatic treatment. It is important to recognise that subacute thyroiditis can present with painful thyroid lesions with ultrasound features similar to suspicious thyroid nodules which can resolve with the resolution of the thyroiditis.https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM21-0135.xml |
| spellingShingle | Wanling Zeng Sophie Tan Thomas Frederick James King Subacute thyroiditis presenting as a painful suspicious thyroid nodule Endocrinology, Diabetes & Metabolism Case Reports |
| title | Subacute thyroiditis presenting as a painful suspicious thyroid nodule |
| title_full | Subacute thyroiditis presenting as a painful suspicious thyroid nodule |
| title_fullStr | Subacute thyroiditis presenting as a painful suspicious thyroid nodule |
| title_full_unstemmed | Subacute thyroiditis presenting as a painful suspicious thyroid nodule |
| title_short | Subacute thyroiditis presenting as a painful suspicious thyroid nodule |
| title_sort | subacute thyroiditis presenting as a painful suspicious thyroid nodule |
| url | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM21-0135.xml |
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