De Quervain's thyroiditis classification

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De Quervain's thyroiditis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating De Quervain's thyroiditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary prevention

Secondary prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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

  1. "Thyroiditis — NEJM".
  2. 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.
  3. Leibovitch G, Maaravi Y, Shalev O (1989). "Severe facial oedema and glossitis associated with mianserin". Lancet. 2 (8667): 871–2. PMID 2571803.