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夏威夷的疼痛性亚急性甲状腺炎

Painful subacute thyroiditis in Hawaii.

作者信息

Nordyke R A, Gilbert F I, Lew C

机构信息

Department of Nuclear Medicine, Straub Clinic & Hospital, Honolulu, Hawaii.

出版信息

West J Med. 1991 Jul;155(1):61-3.

Abstract

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.

摘要

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。

本文引用的文献

4
Hypothyroidism following subacute thyroiditis.亚急性甲状腺炎后的甲状腺功能减退症
Acta Endocrinol (Copenh). 1982 Nov;101(3):348-53. doi: 10.1530/acta.0.1010348.
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The diagnosis of the painful thyroid.疼痛性甲状腺的诊断
Med J Aust. 1970 Dec 5;2(23):1055-61. doi: 10.5694/j.1326-5377.1970.tb63350.x.
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Subacute thyroiditis.亚急性甲状腺炎
Am J Med. 1971 Jul;51(1):97-108. doi: 10.1016/0002-9343(71)90327-5.
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Tohoku J Exp Med. 1974 Jun;113(2):141-7. doi: 10.1620/tjem.113.141.
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Thyroiditis: a clinical update.甲状腺炎:临床最新进展
Mayo Clin Proc. 1985 Dec;60(12):836-43. doi: 10.1016/s0025-6196(12)64789-2.

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