Relapse of subacute thyroiditis

The thyroid gland is an organ that secretes thyroid hormones, but many people today are in a sub-healthy state, and the thyroid gland is prone to inflammation. If subacute thyroiditis is not treated thoroughly, it is likely to recur. Many patients do not pay attention to maintenance after treatment and become infected with the disease again. The situation is very serious and they have to go to a specialized hospital department for treatment. Add more protein ingredients to promote the secretion of thyroid hormones. The following is a detailed introduction.

Subacute thyroiditis is also known as subacute granulomatous thyroiditis, (pseudo) giant cell thyroiditis, non-infectious thyroiditis, transitional thyroiditis, viral thyroiditis, DeQuervain thyroiditis, granulomatous thyroiditis thyroid anatomy deconstruction diagram or giant cell thyroiditis, etc. It was first reported by DeQuervain in 1904. The incidence of this disease has gradually increased in recent years. The clinical changes are complex, misdiagnosis and missed diagnosis may occur, and it is easy to relapse, leading to a decline in health level, but most patients can recover. The disease may occur in different populations depending on the season or the epidemic of the virus.

There are viral antibodies in the patient's blood (the titer of the antibody is consistent with the stage of the disease), the most common of which are Coxsackie virus antibodies, followed by adenovirus antibodies, influenza virus antibodies, mumps virus antibodies, etc. Although there have been reports of mumps virus being isolated from thyroid tissue of patients with subacute thyroiditis, conclusive evidence that the cause of subacute thyroiditis is a virus has not been found.

In subacute thyroiditis, blood should be drawn to check erythrocyte sedimentation rate, blood routine, serum total T3, total T4, free T3, free T4, TSH, thyroglobulin antibodies (TRAb), thyroid peroxidase antibodies (TPO), and thyroid B-ultrasound, thyroid iodine uptake rate examination and thyroid radionuclide scanning. The white blood cell count and neutrophil count are normal or slightly high, the erythrocyte sedimentation rate increases, often >50mm/h, the serum protein-bound iodine or serum T3, T4, FT3 and FT4 concentrations are increased, the thyroid iodine uptake rate is decreased, and thyroid scan shows an enlarged thyroid gland, but the image is uneven or incomplete, and sometimes completely undeveloped. Protein electrophoresis showed a decrease in albumin and an increase in globulins, mainly r and α1 globulins.