De Quervain's thyroiditis classification: Difference between revisions
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{{CMG}}; {{AE}} {{MMF}} | {{CMG}}; {{AE}} {{MMF}} | ||
==Overview== | ==Overview== | ||
De Quervain's thyroiditis can be classified according to the development of symptoms into the prodromal stage, hyperthyroid stage, euthyroid stage, and hypothyroid stage. | De Quervain's thyroiditis can be classified according to the development of symptoms into the prodromal stage, [[hyperthyroid]] stage, [[euthyroid]] stage, and [[hypothyroid]] stage. | ||
==Classification== | ==Classification== | ||
De Quervain's thyroiditis can be classified according to the development of symptoms into the following stages:<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref><ref name="pmid20886353">{{cite journal |vauthors=Engkakul P, Mahachoklertwattana P, Poomthavorn P |title=Eponym : de Quervain thyroiditis |journal=Eur. J. Pediatr. |volume=170 |issue=4 |pages=427–31 |year=2011 |pmid=20886353 |doi=10.1007/s00431-010-1306-4 |url=}}</ref><ref name="pmid2571803">{{cite journal |vauthors=Leibovitch G, Maaravi Y, Shalev O |title=Severe facial oedema and glossitis associated with mianserin |journal=Lancet |volume=2 |issue=8667 |pages=871–2 |year=1989 |pmid=2571803 |doi= |url=}}</ref> | De Quervain's thyroiditis can be classified according to the development of symptoms into the following stages:<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref><ref name="pmid20886353">{{cite journal |vauthors=Engkakul P, Mahachoklertwattana P, Poomthavorn P |title=Eponym : de Quervain thyroiditis |journal=Eur. J. Pediatr. |volume=170 |issue=4 |pages=427–31 |year=2011 |pmid=20886353 |doi=10.1007/s00431-010-1306-4 |url=}}</ref><ref name="pmid2571803">{{cite journal |vauthors=Leibovitch G, Maaravi Y, Shalev O |title=Severe facial oedema and glossitis associated with mianserin |journal=Lancet |volume=2 |issue=8667 |pages=871–2 |year=1989 |pmid=2571803 |doi= |url=}}</ref> | ||
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===1.Prodromal stage=== | ===1.Prodromal stage=== | ||
It includes: | It includes: | ||
*Low-grade fever and viral flu-like symptoms, such as sore throat, myalgia, arthralgia, and malaise. | *Low-grade fever and viral flu-like symptoms, such as [[sore throat]], [[myalgia]], [[arthralgia]], and [[malaise]]. | ||
*High-grade fever and neck pain with a tender and diffuse thyroid gland enlargement follow flu-like symptoms. | *High-grade fever and [[neck pain]] with a tender and diffuse thyroid gland enlargement follow flu-like symptoms. | ||
===1.Hyperthyroid stage=== | ===1.Hyperthyroid stage=== | ||
It follows the prodromal stage and includes the symptoms of thyrotoxicosis such as: | It follows the prodromal stage and includes the symptoms of [[thyrotoxicosis]] such as: | ||
*Tachycardia and tremors. | *[[Tachycardia]] and [[Tremor|tremors]]. | ||
*Irritability and nervousness. | *[[Irritability]] and [[nervousness]]. | ||
===2.Euthyroid stage=== | ===2.Euthyroid stage=== | ||
Thyrotoxic stage is followed by a 1–3-week period of euthyroid phase. | Thyrotoxic stage is followed by a 1–3-week period of [[Euthyroid|euthyroid phase]]. | ||
===4.Hypothyroid stage=== | ===4.Hypothyroid stage=== | ||
The transient hypothyroid stage lasts for 6-12 months. | The transient hypothyroid stage lasts for 6-12 months. | ||
*Rarely, the hypothyroid stage may persist for a longer duration. | *Rarely, the [[hypothyroid]] stage may persist for a longer duration. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:26, 7 August 2017
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De Quervain's thyroiditis Microchapters |
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Differentiating De Quervain's thyroiditis from other Diseases |
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Diagnosis |
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Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
De Quervain's thyroiditis can be classified according to the development of symptoms into the prodromal stage, hyperthyroid stage, euthyroid stage, and hypothyroid stage.
Classification
De Quervain's thyroiditis can be classified according to the development of symptoms into the following stages:[1][2][3]
1.Prodromal stage
It includes:
- Low-grade fever and viral flu-like symptoms, such as sore throat, myalgia, arthralgia, and malaise.
- High-grade fever and neck pain with a tender and diffuse thyroid gland enlargement follow flu-like symptoms.
1.Hyperthyroid stage
It follows the prodromal stage and includes the symptoms of thyrotoxicosis such as:
- Tachycardia and tremors.
- Irritability and nervousness.
2.Euthyroid stage
Thyrotoxic stage is followed by a 1–3-week period of euthyroid phase.
4.Hypothyroid stage
The transient hypothyroid stage lasts for 6-12 months.
- Rarely, the hypothyroid stage may persist for a longer duration.
References
- ↑ "Thyroiditis — NEJM".
- ↑ Engkakul P, Mahachoklertwattana P, Poomthavorn P (2011). "Eponym : de Quervain thyroiditis". Eur. J. Pediatr. 170 (4): 427–31. doi:10.1007/s00431-010-1306-4. PMID 20886353.
- ↑ Leibovitch G, Maaravi Y, Shalev O (1989). "Severe facial oedema and glossitis associated with mianserin". Lancet. 2 (8667): 871–2. PMID 2571803.