Tiroiditis
- Vílchez López, Francisco Javier
- Mateo Gavira, Isabel
- Gavilán, Inmaculada
- Aguilar Diosdado, Manuel
ISSN: 0304-5412
Year of publication: 2012
Issue Title: Enfermedades endocrinológicas y metabólicas: patología del tiroides
Series: 11
Issue: 14
Pages: 827-835
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Abstract
The term thyroiditis encompasses entities that may result from an acute illness with severe thyroid pain (subacute granulomatous thyroiditis or mtectious). to situations where the clinic without inflammation depends on the presence of goiter and/or thyroid dysfunction (thyroiditis, fibrous thyroiditis or painless). The subacute thyroiditis, subacute granulomatous thyroiditis as the silent and postpartum thyroiditis, usually present with an initial hyperthyroid phase, a period subsequent hypothyroid and finally a full recovery. Treatment is symptomatic with beta-blockers in hyperthyroid phase and levothyroxine if hypothyroidism appears. The suppurative thyroiditis due to acute infection requires of aspiration for drainage and to identify the organism and the antibiotic selection. Chronic Iymphocytic thyroiditis is associated with positive antithyroid antibodies and usually evolves to hypothyroidism which require treatment with levothyroxine. Riedel's fibrosing thyroiditis is a rare entity that must be differentiated from malignant entities whose treatment is surgical.