What is de Quervain thyroiditis?

What is de Quervain thyroiditis?

De Quervain’s thyroiditis, also known as subacute granulomatous thyroiditis or giant cell thyroiditis, is a health condition involving the thyroid gland that usually resolves spontaneously without treatment. It is named after Fritz de Quervain.

How is de Quervain’s thyroiditis diagnosed?

Subacute granulomatous thyroiditis (sometimes referred to as de Quervain’s disease) is a self-limited but painful disorder of the thyroid. Physical examination, elevated erythrocyte sedimentation rate, elevated thyroglobulin level and depressed radioactive iodine uptake (RAIU) confirm the diagnosis.

How common is de Quervain’s thyroiditis?

Although an uncommon condition, with an overall incidence of approximately 12.1 per 100,000 per year, De Quervain’s thyroiditis is the most common cause of thyroid pain and is widely considered to occur as a post-viral inflammatory response to a recent respiratory viral infection [2].

What does the medical term thyroiditis mean?

Thyroiditis is the swelling, or inflammation, of the thyroid gland and can lead to over- or under-production of thyroid hormone. There are three phases to thyroiditis: Thyrotoxic phase. Thyrotoxicosis means that the thyroid is inflamed and releases too many hormones. Hypothyroid phase.

Is De Quervain’s thyroiditis an autoimmune disease?

Typically, painful thyroiditis is caused by radiation, trauma, or infection, while painless thyroiditis is caused by autoimmune diseases or medications. Painful thyroiditis can be further divided into subacute granulomatous (de Quervain) thyroiditis, suppurative thyroiditis, and thyroiditis caused by radiation/trauma.

How is de Quervain’s thyroiditis treated?

Salicylates and nonsteroidal antiinflammatory drugs can be used in patients with mild or moderate forms of the disorder. In more severe forms of the condition, corticosteroids in suitable pharmacological dosage will generally cause a rapid relief of symptoms within 24-48 h.

What is the life expectancy of someone with Hashimoto’s thyroiditis?

Does Hashimoto’s affect life expectancy? No. Because Hashimoto’s is very treatable, it doesn’t typically affect your life expectancy. However, left untreated Hashimoto’s can sometimes lead to heart conditions or heart failure.

What a thyroid patient should not eat?

People with hypothyroidism should avoid millet, processed foods, and supplements like selenium and zinc, unless a healthcare professional has advised otherwise. Foods that contain goitrogens may be fine in moderate amounts.

Does De Quervain thyroiditis cause hypothyroidism?

Patients typically then become hypothyroid as the pituitary reduces TSH production and the inappropriately released colloid is depleted before resolving to euthyroid. The symptoms are those of hyperthyroidism and hypothyroidism. In addition, patients may suffer from painful dysphagia.

What viruses cause thyroiditis?

Subacute thyroiditis is an uncommon condition thought to be caused by viral infection of the thyroid gland. The condition often occurs after a viral infection of the upper respiratory tract. Mumps virus, influenza virus, and other respiratory viruses have been found to cause subacute thyroiditis.

What is another name for thyroiditis?

Hashimoto’s disease is also called Hashimoto’s thyroiditis, chronic lymphocytic thyroiditis, or autoimmune thyroiditis.

What is silent thyroiditis?

Silent thyroiditis is an immune reaction of the thyroid gland. The disorder can cause hyperthyroidism, followed by hypothyroidism. The thyroid gland is located in the neck, just above where your collarbones meet in the middle.

What infections cause thyroiditis?

A variety of bacterial infections have been implicated in triggering autoimmune thyroiditis, including Helicobacter Pylori (the same bacteria that causes ulcers), Borrelia burgdorferi (associated with Lyme disease) and Yersinia enterocolitica.

What are the phases of subacute granulomatous thyroiditis?

– Acute phase – Lasts 3-6 weeks and presents primarily with pain; symptoms of hyperthyroidism also may be present – Transient asymptomatic and euthyroid phase – Lasts 1-3 weeks – Hypothyroid phase – Lasts from weeks to months; it may become permanent in 5-15% of patients – Recovery phase – Characterized by normalization of thyroid structure and function

How is thyroiditis diagnosed?

Hashimoto’s thyroiditis is diagnosed by blood tests that measure thyroid gland function and blood tests that look for antibodies against proteins found in the thyroid gland. Treatment options for Hashimoto’s thyroiditis are oral thyroid hormones to maintain normal thyroid hormone levels.