Question 256 · LEK · Thyroiditis
A 29-year-old female patient has had a fever of 38˚C for the last two weeks despite NSAIDs treatment, complains of a neck pain radiating into the ear. On additional tests: ESR 70 mm/h (N up to 12), TSH 0.11 mlU/l (N 0.27 - 4.2), leukocytes - 5600/mm³. Which of the following should be suspected first of all?
- A. thyroid cancer.
- B. acute purulent inflammation of the thyroid gland.
- C. subacute thyroiditis.
- D. Graves-Basedow disease.
- E. Hashimoto disease.
Hint
Combine a painful neck radiating to the ear, a very high ESR, suppressed TSH and a normal white cell count.
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