Dor à palpação da tiróide.
A 37-years-old woman, complaining of fever, malaise, myalgia, sore throat and dysphagia lasting for 15 days, had been taking antibiotics and paracetamol for 7 days, without symptoms' improvement. The clinical examination revealed hyperaemic oropharynx and enlarged, painful thyroid. Further exam...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
2011-12-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/503 |
| _version_ | 1811226423717789696 |
|---|---|
| author | Helena Pité Marta Moitinho Ana Silva Isabel Ortigueira Luís Dias Victor Gomes |
| author_facet | Helena Pité Marta Moitinho Ana Silva Isabel Ortigueira Luís Dias Victor Gomes |
| author_sort | Helena Pité |
| collection | DOAJ |
| description | A 37-years-old woman, complaining of fever, malaise, myalgia, sore throat and dysphagia lasting for 15 days, had been taking antibiotics and paracetamol for 7 days, without symptoms' improvement. The clinical examination revealed hyperaemic oropharynx and enlarged, painful thyroid. Further exams showed increased analytic inflammatory serum parameters as well as thyrotoxicosis. The thyroid gland had heterogeneous echostructure, with markedly hypoechoic areas and significant capsular oedema as well as decreased radionuclide uptake in the scintigraphy. Both symptoms and imaging improved with paracetamol and ibuprofen. Thyroid gland function normalized in two months. The patient remains in follow-up. This case reports the clinical features of subacute or De Quervain's thyroiditis. The differential medical approach to the patient with painful thyroid palpation is discussed. The diagnosis is essentially clinic, highlighting the importance of a rigorous physical exam. These patients' follow-up is required, considering the clinical and analytic progression. |
| first_indexed | 2024-04-12T09:24:50Z |
| format | Article |
| id | doaj.art-911332fa42ee4e8b9e3b50bbb99d4c97 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-12T09:24:50Z |
| publishDate | 2011-12-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-911332fa42ee4e8b9e3b50bbb99d4c972022-12-22T03:38:31ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582011-12-0124510.20344/amp.503Dor à palpação da tiróide.Helena Pité0Marta MoitinhoAna SilvaIsabel OrtigueiraLuís DiasVictor GomesServiço de Medicina, Hospital de S. José, Lisboa, Portugal.A 37-years-old woman, complaining of fever, malaise, myalgia, sore throat and dysphagia lasting for 15 days, had been taking antibiotics and paracetamol for 7 days, without symptoms' improvement. The clinical examination revealed hyperaemic oropharynx and enlarged, painful thyroid. Further exams showed increased analytic inflammatory serum parameters as well as thyrotoxicosis. The thyroid gland had heterogeneous echostructure, with markedly hypoechoic areas and significant capsular oedema as well as decreased radionuclide uptake in the scintigraphy. Both symptoms and imaging improved with paracetamol and ibuprofen. Thyroid gland function normalized in two months. The patient remains in follow-up. This case reports the clinical features of subacute or De Quervain's thyroiditis. The differential medical approach to the patient with painful thyroid palpation is discussed. The diagnosis is essentially clinic, highlighting the importance of a rigorous physical exam. These patients' follow-up is required, considering the clinical and analytic progression.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/503 |
| spellingShingle | Helena Pité Marta Moitinho Ana Silva Isabel Ortigueira Luís Dias Victor Gomes Dor à palpação da tiróide. Acta Médica Portuguesa |
| title | Dor à palpação da tiróide. |
| title_full | Dor à palpação da tiróide. |
| title_fullStr | Dor à palpação da tiróide. |
| title_full_unstemmed | Dor à palpação da tiróide. |
| title_short | Dor à palpação da tiróide. |
| title_sort | dor a palpacao da tiroide |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/503 |
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