Cortázar A, Ruiz de Gordejuela J, Zabalza I, Acinas O, Beitia J J
Sección de Endocrinología, Hospital de Galdácano, Vizcaya.
Med Clin (Barc). 1992 Jan 25;98(3):98-100.
Subacute granulomatous thyroiditis (SGT) and subacute lymphocytic thyroiditis (SLT) present a similar evolution during the first year, however, posteriorly, except on rare occasions, SGT maintains normofunction while SLT may present relapse with persistent goiter or permanent hypothyroidism requiring periodic follow up. The presence of spontaneous pain and very elevated VSG have been described accompanying SGT but not SLT histologically proven to be used for differentiating these entities. Two cases with clinical criteria and cytological diagnosis of SLT consulted for spontaneous thyroid pain are presented. VSG greater than 50 mm/1st hour was suggestive of SGT. The importance of cytology for the correct management of subacute thyroiditis is emphasized.
亚急性肉芽肿性甲状腺炎（SGT）和亚急性淋巴细胞性甲状腺炎（SLT）在第一年的病程中表现相似，然而，在后期，除了极少数情况外，SGT维持甲状腺功能正常，而SLT可能会复发，伴有持续性甲状腺肿大或永久性甲状腺功能减退，需要定期随访。SGT伴有自发疼痛和非常高的血沉（VSG），但经组织学证实的SLT却没有，这一点可用于区分这两种疾病。本文介绍了两例根据临床标准和细胞学诊断为SLT但出现自发甲状腺疼痛的病例。血沉大于50mm/第1小时提示为SGT。强调了细胞学检查对亚急性甲状腺炎正确治疗的重要性。
