Refers to a transient patchy inflammation of the thyroid
De Quervain's thyroiditis
Describes the presentation of a viral infection with fever, neck pain and tenderness, dysphagia and features of hyperthyroidism
Aetiology
Ages 20-50
May be triggered by viral infection
Clinical features
Painful, diffuse, firm goitre
Fever and/or malaise may be present
There is a hyperthyroid phase followed by a hypothyroid phase as the TSH level falls due to negative feedback
Investigations
Thyroid function tests
May perform scintigraphy scan to rule out other causes of hyperthyroidism, will be low uptake throughout
Management
Self-limiting condition - supportive treatment with NSAIDs for pain and inflammation and beta-blockers for symptomatic relief of hyperthyroidism is usually all that is necessary