Hwang S C, Jap T S, Ho L T, Ching K N
Zhonghua Yi Xue Za Zhi (Taipei). 1989 Feb;43(2):113-8.
To examine the hospitalized patients with available data suggesting subacute thyroiditis, we have reviewed 80 hospital charts over the last 11 years and the data demonstrated 61 patients (48 females, 13 males, Aged 22-75 years) had evidence of subacute thyroiditis clinically or pathologically. Fifty seven of those patients had the clinical manifestation of severe tenderness over the neck, and others were painless. The thyroid function test were abnormal in 53% (30/57) of cases. All had rapid sedimentation rate (46/46). The thyroid antibodies were positive in 26% (10/39) of cases. Sixteen patients received unnecessary thyroid operation and complicated with hypothyroidism with or without hypoparathyroidism in two cases. In conclusion, all patients with painful or painless goiter should be appreciated carefully with additional study such as aspiration cytology to avoid misdiagnosis and inappropriate management.
为了检查有可用数据提示亚急性甲状腺炎的住院患者，我们回顾了过去11年里的80份医院病历，数据显示61例患者（48名女性，13名男性，年龄22 - 75岁）在临床或病理上有亚急性甲状腺炎的证据。其中57例患者有颈部严重压痛的临床表现，其他患者则无痛。53%（30/57）的病例甲状腺功能检查异常。所有患者血沉均增快（46/46）。26%（10/39）的病例甲状腺抗体呈阳性。16例患者接受了不必要的甲状腺手术，其中2例并发甲状腺功能减退，伴或不伴有甲状旁腺功能减退。总之，对于所有有疼痛性或无痛性甲状腺肿的患者，都应仔细评估，并进行额外的检查，如细针穿刺细胞学检查，以避免误诊和不恰当的处理。
