A Case of Severe and Recurrent Painless Thyroiditis Requiring Thyroidectomy

Objective: To report a case of severe and recurrent painless thyroiditis requiring thyroidectomy. Clinical Presentation and Intervention: A 47-year-old man who presented with severe thyrotoxicosis was found to have extremely low radioactive iodine uptake, negative TSH receptor antibodies, and normal...

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Bibliographic Details
Published in:Medical principles and practice 2013-01, Vol.22 (4), p.408-410
Main Authors: Ishii, Hiroaki, Takei, Masahiro, Sato, Yoshihiko, Ito, Tokiko, Ito, Ken-ichi, Sakai, Yasuhiro, Yumita, Wataru, Suzuki, Satoru, Komatsu, Mitsuhisa
Format: Article
Language:English
Subjects:
Case Report
Humans
Male
Middle Aged
Recurrence
Severity of Illness Index
Thyroid Crisis - prevention & control
Thyroidectomy
Thyroiditis - surgery
Thyrotoxicosis - etiology
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Summary:Objective: To report a case of severe and recurrent painless thyroiditis requiring thyroidectomy. Clinical Presentation and Intervention: A 47-year-old man who presented with severe thyrotoxicosis was found to have extremely low radioactive iodine uptake, negative TSH receptor antibodies, and normal C-reactive protein; these findings suggested a diagnosis of painless thyroiditis. Due to the severity and recurrence of thyrotoxicosis, surgical resection of the thyroid gland was performed to prevent a thyrotoxic storm. Histological examination revealed typical lymphoid infiltration of the thyroid gland. Conclusion: This case illustrates that a patient with painless thyroiditis was successfully treated with surgery.
ISSN:1011-7571
1423-0151
DOI:10.1159/000345212