Female Patient with Simultaneous Occurrence of Subacute Thyroiditis and Focal Autonomy

Clinical presentation

A 57-year-old female patient presented at the emergency department with fatigue, increased sweating, flushing symptoms, loss of appetite, drowsiness and severe diarrhea. Besides she also mentioned painful left-sided sore throat radiating to the temples, beginning two weeks after a flu and subfebrile temperatures.

• Literature

• 1 Sriphrapradang C, Bhasipol A. Differentiating Graves’ disease from subacute thyroiditis using ratio of serum free triiodothyronine to free thyroxine. Annals of medicine and surgery (2012) 2016; 10: 69-72 doi:10.1016/j.amsu.2016.07.024
• 2 Ross DS, Burch HB, Cooper DS. et al. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid: official journal of the American Thyroid Association 2016; 26: 1343-1421 doi:10.1089/thy.2016.0229
• 3 Schumm-Dräger PM, Feldkamp J. Schilddrüsenkrankheiten in Deutschland. Präv Gesundheitsf 2007; 2: 153-158
• 4 Carle A, Pedersen IB, Knudsen N. et al. Epidemiology of subtypes of hyperthyroidism in Denmark: a population-based study. European journal of endocrinology 2011; 164: 801-809 doi:10.1530/eje-10-1155
• 5 Espinoza PG, Guendelman CL, Quevedo Limon LN. et al. A comparison between two imaging techniques for the diagnosis of subacute thyroiditis (de Quervain thyroiditis): brief communication. Clinical nuclear medicine 2010; 35: 862-864 doi:10.1097/RLU.0b013e3181f49adc
• 6 Sato J, Uchida T, Komiya K. et al. Comparison of the therapeutic effects of prednisolone and nonsteroidal anti-inflammatory drugs in patients with subacute thyroiditis. Endocrine 2017; 55: 209-214 doi:10.1007/s12020-016-1122-3