Recent advances in diagnosis and treatment of subacute thyroiditis

doi:10.16138/j.1673-6087.2024.04.08

Abstract

Abstract:

Subacute thyroiditis (SAT) is a common thyroid inflammatory disease that is frequently prone to misdiagnosis or underdiagnosis, which impact the quality of life for patients adversely. In this review, we summarize the pathogenesis, clinical manifestations, diagnosis, and treatment of SAT, aiming to improve clinician’s understanding of the disease.

Key words: Subacute thyroiditis, Self-limited disease, Epidemiology, Virus infection, Biological agents

CLC Number:

R581.4

LI Yajie, CUI Dai. Recent advances in diagnosis and treatment of subacute thyroiditis[J]. Journal of Internal Medicine Concepts & Practice, 2024, 19(04): 259-263.

Figures/Tables 2

References 41

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主要标准	次要标准
炎症因子：ESR↑或CRP↑	甲状腺硬性肿胀
甲状腺超声：病灶呈边缘模糊、血流减少的低回声区	甲状腺疼痛和压痛
	FT₄↑，TSH↓
	摄I¹³¹率曲线低平
	FNAC示多核巨细胞、片状上皮样细胞、不同程度炎性细胞

临床特征	具体分级	评分
发热	无	0
	有，最高≤38℃	1
	有，最高>38℃	2
压痛	无	0
	轻度	1
	重度	2
甲状腺肿大（超声或触诊）	无	0
甲状腺肿大（超声或触诊）	有	1
ESR	正常范围	0
	25~60 mm/h	1
	>60 mm/h	2