Peros Kristijan, Bozek Tomislav, Prkacin Ingrid, Stakor Mia Sunjić, Zmire Josip
Vuk Vrhovac University Clinic, Merkur University Hospital, Zagreb, Croatia.
Acta Clin Croat. 2013 Sep;52(3):380-2.
Subacute granulomatous thyroiditis is an inflammatory thyroid condition that is presumed to be caused by a viral infection or postviral inflammatory process. It is characterized by neck pain, usually a tender diffuse goiter, and thyrotoxicosis. A case is presented of subacute granulomatous thyroiditis in an adult woman who had no neck pain but presented with morning stiffness in the small joints of the right hand, intermittent abdominal pain, malaise, fever, and myalgia. After the diagnosis had been established, she was treated with propranolol and acetylsalicylic acid, and has fully recovered. In conclusion, this disease may be difficult to diagnose, especially if there is a combination of fever and increased aminotransferases, which can lead to a wrong diagnostic approach.
亚急性肉芽肿性甲状腺炎是一种甲状腺炎症性疾病，推测由病毒感染或病毒感染后的炎症过程引起。其特征为颈部疼痛，通常伴有触痛性弥漫性甲状腺肿以及甲状腺毒症。本文报告一例成年女性亚急性肉芽肿性甲状腺炎病例，该患者无颈部疼痛，但出现右手小关节晨僵、间歇性腹痛、全身不适、发热及肌痛。确诊后，她接受了普萘洛尔和乙酰水杨酸治疗，现已完全康复。总之，这种疾病可能难以诊断，尤其是在伴有发热和转氨酶升高的情况下，这可能导致错误的诊断方法。
