Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2014     Vol 39     No 4
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      UDK 616.441-002-07

ISSN 035-2899, 39(2014) br.4 p.219-223

Case report

Atypical subacute thyroiditis and functional thyroid adenoma – Case report
(Atipični subakutni tiroiditis i funkcijski adenom tiroidee – prikaz slučaja)

Željka Aleksić (1), Nenad Ristović (2), Aleksandar Aleksić (3)
(1) Služba za nuklearnu medicinu, Zdravstveni centar Zaječar, (2) Infektološka služba, Zdravstveni centar Zaječar, (3) Internistička služba, Zdravstveni centar Zaječar


  Download in pdf format   Extended summary: Subacute thyroiditis (SAT), also known as DeQuervain's or granulomatous thyroiditis is an inflammatory condition of the thyroid gland, which is usually fully affected. Severe pain and tenderness in the thyroid bed occur typically and are followed by weakness, fatigue, pain in muscles and joints, and light to moderate fever and symptoms of thyrotoxicosis - nervousness, sweating and rapid heartbeat and trembling. Temporary elevated serum thyroxine, suppressed TSH and elevated serum markers of inflammation in the acute phase are pathognomonic for the SAT, with diffusely absent binding of radioactive iodine or technetium-pertechnetate in the thyroid gland due to thyrocytes destruction. Rare cases of atypical SAT - painless or with minimal pain, SAT limited to one thyroid lobe or focal thyroiditis, are reported in literature. We report a rare case of a minimally painful SAT associated with functional adenoma in the right lobe of the thyroid gland, which was, in thyrotoxic, acute phase, scintigraphicaly presented as toxic adenoma, in fact representing a functional adenoma tissue unaffected by destructive thyroiditis.
Keywords: atypical subacute thyroiditis, autonomously functioning thyroid nodule, toxic adenoma

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
      Corresponding Address:
Željka Aleksić
Služba za nuklearnu medicinu, Zdravstven Centar Zaječar, Rasadnička bb, 19 000 Zaječar, Srbija;
Paper received: 31.8.2014
Paper accepted: 31.8.2014
Paper Internet issues: 17.11.2014
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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija

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