A Case of Acute Exacerbation of Hashimoto's Thyroiditis with a Nontender Thyroid.

Bando, Yoshiaki; Notumata, Kazuo; Toya, Taisyu; Tanaka, Nobuyoshi; Fugisawa, Masakiyo

doi:10.1507/endocrj.44.603

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Bando et al reported the first case of acute exacerbation of Hashimoto's thyroiditis with a nontender thyroid [7]. Fever and inflammatory reaction were relieved by oral naproxen, and did not recur on withdrawal in their case.…”

Section: Discussionmentioning

confidence: 91%

Sustained fever resolved promptly after total thyroidectomy due to huge Hashimoto’s fibrous thyroiditis

Kubota

Matsuzuka

Ohye

et al. 2007

Endocr

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We encountered a 55-year-old female patient with Hashimoto's thyroiditis who showed persistent fever, and could not find any source of fever other than the large nontender goiter. Her fever continued with positive CRP for 6 months. Although we did not assume that the inflammation was related to Hashimoto's thyroiditis, total thyroidectomy was performed for cosmetic reasons; however, fever was resolved immediately after thyroidectomy. Pathological diagnosis was Hashimoto's chronic thyroiditis. Immunohistochemical staining showed that the follicular cells were positive for IL-1alpha, IL-1beta, and TNF-alpha. We believed that fever was induced by inflammatory cytokines produced in thyroid. The case indicated that Hashimoto's thyroiditis with nontender goiter could cause idiopathic fever.

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Section: Discussionmentioning

confidence: 91%

Sustained fever resolved promptly after total thyroidectomy due to huge Hashimoto’s fibrous thyroiditis

Kubota

Matsuzuka

Ohye

et al. 2007

Endocr

View full text Add to dashboard Cite

show abstract

“…The immunological examinations as well as ultrasonographical study revealed that the present case was not likely SAT. To our knowledge, only one case of acute exacerbation of chronic thyroiditis has ever been reported to be nontender thyroid [3]. In that case, the patient's anti-TPO antibody (0.7-1.5 U/ml; normal range <0.3) and anti-thyroglobulin antibody levels (35-64%; normal range <10) remained largely unchanged throughout the clinical course.…”

Section: To the Editor;mentioning

confidence: 91%