Nordyke R A, Gilbert F I, Lew C
Department of Nuclear Medicine, Straub Clinic & Hospital, Honolulu, Hawaii.
West J Med. 1991 Jul;155(1):61-3.
Between 1960 and 1982 we prospectively studied 269 patients with painful subacute thyroiditis to determine the demographic characteristics, seasonality, and natural course of the disease. The mean age for all patients was 37.1 years. The female:male ratio was 6.7:1. At the first visit, disease was bilateral in 69%. No epidemic or seasonal pattern was identified. The mean duration of thyroid tenderness was 2.2 months and that of palpable thyroid lumps was 2.8 months. This time difference, sometimes lasting many months, left a painfree "window" during which the palpable hard residual mass of subacute thyroiditis may be confused with other thyroid problems, especially cancer.
1960年至1982年间，我们对269例疼痛性亚急性甲状腺炎患者进行了前瞻性研究，以确定该疾病的人口统计学特征、季节性和自然病程。所有患者的平均年龄为37.1岁。男女比例为6.7:1。首次就诊时，69%的患者疾病为双侧性。未发现流行或季节性模式。甲状腺压痛的平均持续时间为2.2个月，可触及甲状腺肿块的平均持续时间为2.8个月。这种时间差异有时会持续数月，留下一个无痛的“窗口期”，在此期间，亚急性甲状腺炎可触及的坚硬残余肿块可能会与其他甲状腺问题，尤其是癌症相混淆。
