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An Unusual Clinical Presentation of Subacute Granulomatous Thyroiditis

Kristijan Peroš
Tomislav Božek
Ingrid Prkačin
Mia Šunjić Stakor
Josip Žmire

Abstract

Subacute granulomatous thyroiditis is an inflammatory thyroid condition that is presumed to be caused by a viral infection or postviral inflammatory process. It is characterized by neck pain, usually a tender diffuse goiter, and thyrotoxicosis. A case is presented of subacute granulomatous thyroiditis in an adult woman who had no neck pain but presented with morning stiffness in the small joints of the right hand, intermittent abdominal pain, malaise, fever, and myalgia. After the diagnosis had been established, she was treated with propranolol and acetylsalicylic acid, and has fully recovered. In conclusion, this disease may be difficult to diagnose, especially if there is a combination of fever and increased aminotransferases, which can lead to a wrong diagnostic approach.

Keywords

Thyroiditis, subacute; Neck pain; Arthralgia; Aminotransferases

Hrčak ID:

116857

URI

https://hrcak.srce.hr/116857

Publication date:

1.9.2013.

Article data in other languages: croatian

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