Question 241 · LEK · Thyroiditis
A 25-year-old female came to the doctor because of elevated temperature of 38.7°C, weakness, palpitations and a painful enlargement of the thyroid. The pain radiated to the mandible. A week earlier she noticed mild symptoms of upper respiratory tract infection, but she did not report to the doctor. On physical examination: blood pressure 145/65 mmHg, pulse 100/min, a goiter painful on palpation, pale skin in the neck region. Abnormal laboratory test results were: ESR 95 mm/h, leukocytosis 14500/µL, TSH 0.009 mU/L. Which of the following should be suspected?
- A. subacute thyroiditis.
- B. thyroid cancer.
- C. acute thyroiditis.
- D. autoimmune thyroiditis.
- E. hyperthyroidism in the course of Graves’ disease.
Hint
A painful goitre radiating to the jaw, very high ESR and suppressed TSH shortly after a viral respiratory infection suggest a specific thyroiditis.
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