The rationale for treatment of lymphocytic thyroiditis with spontaneously resolving hyperthyroidism. Prednisone therapy v chicken soup

Dorfman, Steven G.; Sachson, Richard; Feld, Stanley

doi:10.1001/archinte.142.13.2261

Cited by 7 publications

(1 citation statement)

References 6 publications

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“…The importance in the differential diagnosis of hyperthyroidism with LT-SRH from other forms of thyrotoxicosis has been emphasized by other investigators, in order to avoid inadvertent treatment for this transient hyperthyroidism. 5 , 6) …”

Section: Introductionmentioning

confidence: 99%

The Clinical and Thyroid Function Studies of Lymphocytic Thyroiditis with Spontaneously Resolving Hyperthyroidism: Comparison to Subacute Thyroiditis

Koh

Park

Hong

et al. 1986

Korean J Intern Med

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Lymphocytic thyroiditis with spontaneously resolving hyperthyroidism (LT-SRH) has been reported in the past years, and is referred to as “silent thyroiditis.” It is characterized by a low or decreased radioactive iodine uptake (RAIU) of thyroid in a patient with hyperthyroidism in whom initial diagnosis is generally thought to be Graves’ disease.Thirty-five patients who had hyperthyroidism or goiter with decreased RAIU have been assessed. Twenty-four (68.6%) of 35 patients had LT-SRH and the remaining patients, subacute thyroiditis (SAT).The clinical characteristics of the patients with LT-SRH were a history of delivery, painless goiter, elevated T3 and T4 levels and positive anti-microsomal antibodies. Anti-microsomal antibodies were positive in 70.8% of the LT-SRH group, whereas 12.5% in the SAT group. Resolution of the hyperthyroidism took 8 to 12 months.It is considered that LT-SRH is an autoimmune thyroiditis with spontaneously resolving hyperthyroidism and determination of the RAIU is very useful in differentiating from other forms of hyperthyroidism.

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Section: Introductionmentioning

confidence: 99%