Endocrinol Metab > Volume 23(6); 2008 > Article
Journal of Korean Endocrine Society 2008;23(6):438-443.
DOI: https://doi.org/10.3803/jkes.2008.23.6.438    Published online December 1, 2008.
A Case of Painful Hashimoto's Thyroiditis Successfully Treated with Total Thyroidectomy.
Hee Kyung Kim, Hong Joon Shin, Ho Cheol Kang
Department of Internal Medicine, Chonnam University Hwasun Hospital, Korea.
Abstract
Painful Hashimoto's thyroiditis (HT) is a subtype of HT characterized by thyroid pain with overt elevation in inflammatory markers and thyroid autoantibodies. The differential diagnosis of painful HT with subacute granulomatous thyroiditis is often difficult because initial clinical findings are very similar. Findings that favor the diagnosis of painful HT include preceding history of chronic goiter or autoimmune thyroid diseases, a high titer of thyroid autoantibodies, and repeated painful attacks even with chronic glucocorticoid therapy. Surgery is often needed to relieve the thyroid pain.
Key Words: Hashimoto's thyroiditis, subacute thyroiditis, thyroidectomy


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