Lane Kyrstin, Pelikh Brendan, Rao Jianyu, Cheung Dianne S
Endocrinology, Diabetes and Metabolism, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, USA.
Endocrinology, University of California, Los Angeles (UCLA), Los Angeles, USA.
Cureus. 2025 Jul 12;17(7):e87767. doi: 10.7759/cureus.87767. eCollection 2025 Jul.
De Quervain's thyroiditis (subacute thyroiditis) is a self-limited inflammation of the thyroid gland. It is diagnosed based on clinical history, physical examination, labs, and thyroid imaging. Thyroid fine needle aspiration (FNA) is typically not recommended unless the diagnosis is unclear or there are clinical signs concerning for malignancy. We present the case of a 75-year-old male who presented with symptoms of De Quervain's thyroiditis and an inflammatory thyroid nodule. He had a thyroid FNA for further evaluation of the thyroid nodule. Ultimately, his clinical course was prolonged after he had a thyroid FNA, which was presumed to have contributed to further thyroid inflammation. This case highlights the importance of distinguishing De Quervain's thyroiditis from other causes of thyroid pain, as well as the use of serial thyroid ultrasounds, as it may help avoid unnecessary FNA.
德奎尔万甲状腺炎（亚急性甲状腺炎）是一种甲状腺的自限性炎症。它是根据临床病史、体格检查、实验室检查和甲状腺影像学来诊断的。通常不建议进行甲状腺细针穿刺抽吸活检（FNA），除非诊断不明确或存在提示恶性肿瘤的临床体征。我们报告一例75岁男性，他表现出德奎尔万甲状腺炎的症状以及一个炎性甲状腺结节。他接受了甲状腺FNA以进一步评估甲状腺结节。最终，在他接受甲状腺FNA后，其临床病程延长，推测这导致了进一步的甲状腺炎症。该病例强调了区分德奎尔万甲状腺炎与其他甲状腺疼痛原因的重要性，以及连续进行甲状腺超声检查的作用，因为这可能有助于避免不必要的FNA。
