Division of Endocrinology, Diabetes and Clinical Nutrition, Oregon Health & Science University, Portland, OR 97239, USA.
Med Clin North Am. 2012 Mar;96(2):223-33. doi: 10.1016/j.mcna.2012.01.003. Epub 2012 Feb 4.
Subacute, silent, and postpartum thyroiditis are temporary forms of thyroid dysfunction caused by thyroid gland inflammation. They classically present with a triphasic course: a brief period of thyrotoxicosis due to release of preformed thyroid hormone that lasts for 1 to 3 months, followed by a more prolonged hypothyroid phase lasting up to 6 months, and eventual return to a euthyroid state. However, the types and degree of thyroid dysfunction are variable in these disorders, and individual patients may present with mild or more severe cases of thyrotoxicosis alone, hypothyroidism alone, or both types of thyroid dysfunction.
亚急性、静默性和产后甲状腺炎是由甲状腺炎症引起的暂时性甲状腺功能障碍形式。它们通常表现为三阶段病程:由于预先形成的甲状腺激素释放引起的短暂甲状腺毒症期持续 1 至 3 个月,随后是持续长达 6 个月的更长时间的甲状腺功能减退期,最终恢复到甲状腺功能正常状态。然而,这些疾病中甲状腺功能障碍的类型和程度是可变的,个别患者可能表现为轻度或更严重的单纯甲状腺毒症、单纯甲状腺功能减退症,或两种类型的甲状腺功能障碍。