Subacute thyroiditis in a lateral thyroid gland: Evaluation of the pituitary-thyroid axis during the acute destructive and the recovery phases
| Autor: | P. Reed Larsen, Frederic M. Kenny, Nezam Radfar |
|---|---|
| Rok vydání: | 1975 |
| Předmět: |
Thyroid Hormones
Thyroiditis endocrine system medicine.medical_specialty endocrine system diseases Radioimmunoassay Thyroid Gland Thyrotropin Ectopic Thyroid Gland Thyroid Function Tests Thyroid function tests Antibodies Pituitary thyroid axis Thyroxine-Binding Proteins Hypothyroidism Internal medicine medicine Humans Thyrotropin-Releasing Hormone Subacute thyroiditis medicine.diagnostic_test Ectopic thyroid business.industry Thyroid medicine.disease Thyroxine Endocrinology medicine.anatomical_structure Child Preschool Pituitary Gland Acute Disease Pediatrics Perinatology and Child Health Triiodothyronine Female Differential diagnosis business |
| Zdroj: | The Journal of Pediatrics. 87:34-37 |
| ISSN: | 0022-3476 |
| Popis: | Subacute thyroiditis in a lateral, ectopic thyroid has been previously unreported. A 4 10/12-year-old girl had an enlarging mass in the left upper anterior neck. Initially, the serum concentration of T 4 was normal, T 3 was elevated, and TSH was undetectable without response to TRH. RAI uptake was 1%. The data were consistent with subacute thyroiditis. Twelve weeks later the serum concentration of T 4 was low and TSH was elevated; thyroid replacement therapy was given for 20 weeks. When this was discontinued, there was an initial increase and then a decrease in the TSH values accompanied by an increase in serum concentrations of T 3 and T 4 to normal during eight weeks. One must consider a lateral ectopic thyroid gland in the differential diagnosis of masses in the neck. Physicians must be aware that temporary hypothyroidism occurs during the course of subacute thyroiditis |
| Databáze: | OpenAIRE |
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