Thyroid disease is defined as a condition of malfunction of thyroid.
Hyperthyroidism is a condition in which the thyroid gland is over active
and produces too much thyroid hormones. Hypothyroidism is a condition
in which the thyroid gland is under active and produces very little
thyroid hormones. Thyroid cancer is defined as condition in which the
cells in the thyroid gland have become cancerous.
Acute thyroiditis (Acute infectious thyroiditis or acute suppurative
thyroiditis) is defined as a condition of as a result of relatively high
amount of iodine in the tissue causes of microbial inflammatory
thyroiditis, pyrogenic thyroiditis and bacterial thyroiditis. Acute
infectious thyroiditis is very rare, accounting for about 0.1-0.7% of
all thyroiditis.
D.2. Diagnosis
If you are experience certain symptoms of the above and your doctor
suspects that you have developed acute thyroiditis, after recording the
past and present history and completing a physical exam, including
assessing symptoms and complaints commonly seen including enlarged
thyroid gland, heart rate, shaking hand etc., the tests which your
doctor orders may include
1. Blood test
The aim of the test is to check for the elevation of white blood cell
count, erythrocyte sedimentation rate, abnormal thyroid hormone levels
and lkaline phosphatase, transaminases increased(26).
2. Needle aspiration
Needle aspiration is a diagnostic procedure used to investigate
superficial (just under the skin) lumps or masses. . Acute suppurative
thyroiditis after fine-needle aspiration (FNA) in an immunocompetent
patient is very rare. We report the case of a 50-year-old
immunocompetent male patient who presented with painful cervical
swelling, fever, and chills after an FNA of the thyroid. His physical
and laboratory examination suggested an acute suppurative thyroiditis.
Repeat FNA results were consistent with thyroid abscess. Physicians
should be aware of the probability of acute bacterial thyroiditis after
FNA, according to the study by the Ankara University School of
Medicine(27).
3. Ultrasound and oesophagography
The thyroid is remarkably resistant to infection. Hence, when an
infection does occur, the presence of a pyriform fossa sinus must be
considered. The Prince of Wales Hospital, presents the role of
ultrasound and oesophagography in five children with pyriform fossa
sinus associated with suppurative thyroiditis. In four children the
abnormality was on the left and on the right in one(28).
4. CT scan
CT scan can be useful in identifying the location of the abscess, but
this has been said to be required only in unusual situations.
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Sources
(26) http://www.uptomed.ir/Digimed.ir/WilliamsTextbookOfEndocrinology/WilliamsTextbookOfEndocrinology/HTML/72.htm
(27) http://www.ncbi.nlm.nih.gov/pubmed/23893617
(28) http://www.ncbi.nlm.nih.gov/pubmed/9528872
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