Journals / Selçuk Tıp Dergisi / 2019 / Cilt: 35 - Sayı: 3

A Silent Thyroiditis in the Remission Period of Graves’ Disease

Graves Hastalığının Remisyon Döneminde Sessiz Tiroidit

Pages
207–209
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case, we present a patient diagnosed with a silent thyroiditis as a result of a thyrotoxicosis of a patient who was following up due to Graves' disease in remission and we aimed to emphasize the importance of differential diagnosis of these two diseases.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Silent thyroiditis and Graves’ disease are autoimmune disorders which are common cause of thyrotoxicosis and should be given different treatments.
📊
Key Findings & Data:Anamnesis and physical examination are not sufficient in the differential diagnosis of these two diseases, and advanced examinations such as thyroid scintigraphy, iodine reuptake study and thyroid stimulating receptor antibody could be needed.
💡
Conclusion & Impact:In this case, we present a patient diagnosed with a silent thyroiditis as a result of a thyrotoxicosis of a patient who was following up due to Graves' disease in remission and we aimed to emphasize the importance of differential diagnosis of these two diseases.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Silent thyroiditis and Graves’ disease are autoimmune disorders which are common cause of thyrotoxicosis and should be given different treatments. Anamnesis and physical examination are not sufficient in the differential diagnosis of these two diseases, and advanced examinations such as thyroid scintigraphy, iodine reuptake study and thyroid stimulating receptor antibody could be needed. In this case, we present a patient diagnosed with a silent thyroiditis as a result of a thyrotoxicosis of a patient who was following up due to Graves' disease in remission and we aimed to emphasize the importance of differential diagnosis of these two diseases.

Özet

Sessiz tiroidit ve Graves hastalığı otoimmün kökenli, tirotoksikoz tablosuyla karşımıza çıkabilecek, farklı tedaviler verilmesi gereken iki farklı hastalıktır. Bu iki hastalığın ayırıcı tanısında hikaye ve fizik muayene yeterli olmamakta, tiroid sintigrafisi, iyot re-uptake çalışması ve tiroid stimülan reseptör antikoru gibi ileri tetkiklere ihtiyaç duyulmaktadır. Bu vakada remisyonda Graves hastalığı nedeniyle takip edilen bir hastada gelişen tirotoksikoz tablosu sonucunda tetkik edilen ve sessiz tiroidit tanısı koyulan bir olgu sunulmuş ve bu iki hastalığın ayırıcı tanısının önemi vurgulanmıştır

🔖

Cite This Article

KIRAÇ, C. O., İPEKÇİ, S. H., GEDİK, G. K., KEBAPÇILAR, L. (2019). A Silent Thyroiditis in the Remission Period of Graves’ Disease. Selçuk Tıp Dergisi, Cilt: 35 - Sayı: 3, 207–209. https://ajindex.com/articles/319051

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Pearce EN, Farwell AP, Braverman LE. Thyroiditis. N Engl J Med 2003;348(26):2646-55
  2. Strakosch CR. Thyroiditis. Aust N Z J Med 1986;16(1):91- 100
  3. Leo SD, Lee SY, Braverman LE. Hyperthyroidism. Lancet 2016;388:906-18
  4. Morita T, Tamai H, Oshima A, et al. The occurrence of thyrotropin binding-inhibiting immunoglobulins and thyroid- stimulating antibodies in patients with silent thyroiditis. J Clin Endocrinol Metab 1990;71(4):1051-5
  5. Check JH, Avellino J. Painless thyroiditis and transient thyrotoxicosis after Graves’ disease. JAMA 1980;244:1361
  6. Nakamura S, Saio Y, Shimada T, et al. Transient hypothyroidism in a case of untreated Graves' disease. Endocrine J 1995;42:77-81
  7. Dayan CM, Daniels GH. Chronic autoimmune thyroiditis. N Engl J Med 1996;335:99-107
  8. Singer PA. Thyroiditis: Acute, subacute, and chronic. Med Clin North Am 1991;75:61-77
  9. Farwell AP, Braverman LE. Inflammatory thyroid disorders. Otolaryngol Clin North Am 1996;29:541-56
  10. Izumi Y, Takeoka K, Amino N. Usefulness of the 2nd generation assay for anti-TSH receptor antibodies to differentiate relapse of Graves ‘thyrotoxicosis from development of painless thyroiditis after antithyroid drug treatment for Graves’ disease. Endocr J 2005;52:493-7
  11. Ilicki A, Gamstedt A, Karlsson FA. Hyperthyroid Graves' disease without detectable thyrotropin receptor antibodies. J Clin Endocrinol Metab 1992;74:1090-4
  12. Gopinath B, Ma G, Wall JR. Eye signs and serum eye muscle and collagen XIII antibodies in patients with transient and progressive thyroiditis. Thyroid 2007;17:1123-9.