Ogawa Eishin, Katsushima Yuriko, Fujiwara Ikuma, Iinuma Kazuie
Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan.
J Pediatr Endocrinol Metab. 2003 Jul-Aug;16(6):897-900. doi: 10.1515/jpem.2003.16.6.897.
Subacute thyroiditis is extremely rare during childhood. We treated a 10 year-old prepubertal girl who presented with typical clinical features of subacute thyroiditis. Considering this case and previous reports in children, we characterized the clinical features of this disorder as it occurs in childhood. In contrast to the predominance of subacute thyroiditis in adults, the incidence of subacute thyroiditis is lower than that of acute suppurative thyroiditis in children. This may cause difficulty with differential diagnosis, particularly when leukocytosis is present or the lesion is localized to the left lobe. Ultrasonography can be helpful in differentiation.
亚急性甲状腺炎在儿童期极为罕见。我们治疗了一名10岁青春期前女孩,她表现出亚急性甲状腺炎的典型临床特征。结合该病例及既往儿童病例报告,我们对这种疾病在儿童期的临床特征进行了描述。与成人中亚急性甲状腺炎占主导不同,儿童中亚急性甲状腺炎的发病率低于急性化脓性甲状腺炎。这可能导致鉴别诊断困难,尤其是在出现白细胞增多或病变局限于左叶时。超声检查有助于鉴别。