Rotenberg Z, Weinberger I, Fuchs J, Maller S, Agmon J
Arch Intern Med. 1986 Jan;146(1):105-7.
An unusual form of atypical subacute thyroiditis (SAT) occurred in 13 patients. The clinical presentation in all patients simulated systemic or malignant disease, involving fever of long duration and loss of weight without localized thyroid tenderness and without signs or symptoms of thyrotoxicosis. Eleven of the 13 patients had normal serum free thyroxine values. In the ten patients in whom a needle biopsy was done, the histologic findings were the same as in typical SAT. In the other three patients, the diagnosis was made based on the following clinical findings: high erythrocyte sedimentation rate, low radioactive iodine uptake, and good response to salicylate (aspirin, 2 g/day) or steroid (prednisone, 30 mg/day) treatment. Early recognition of this variation of atypical SAT may save the patients unnecessary investigations in search of systemic or malignant disease.
13例患者发生了一种不寻常形式的非典型亚急性甲状腺炎（SAT）。所有患者的临床表现类似全身性疾病或恶性疾病，包括长期发热和体重减轻，无局部甲状腺压痛，也无甲状腺毒症的体征或症状。13例患者中有11例血清游离甲状腺素值正常。在接受针吸活检的10例患者中，组织学表现与典型SAT相同。在另外3例患者中，根据以下临床表现做出诊断：红细胞沉降率升高、放射性碘摄取率降低以及对水杨酸盐（阿司匹林，每日2g）或类固醇（泼尼松，每日30mg）治疗反应良好。早期识别这种非典型SAT的变异型可使患者避免为寻找全身性疾病或恶性疾病而进行不必要的检查。
