title: Massage therapy on neck: a contributing factor for destructive thyrotoxicosis?
abstract: A 57-year-old woman with Hashimoto's disease is described who developed transient destructive thyrotoxicosis subsequently after she underwent physical massage therapy over her shoulder to neck, together with the goiter, for muscle stiffness in that part. This case supports the concept that physical vigorous manipulation might be a contributing factor for thyrotoxicosis in cases predisposed with autoimmune thyroiditis.
authors.affiliation: Department of Laboratory Medicine, Osaka University Medical School, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Tachi
authors.forename: N
authors.initials: N
authors.lastname: Amino
authors.forename: K
authors.initials: K
authors.lastname: Miyai
mesh_terms: D001323:Autoantibodies / Q000097:blood; D005260:Female; D006801:Humans; D018828:Immunoglobulins, Thyroid-Stimulating; D008405:Massage / Q000009:adverse effects*; D008875:Middle Aged; D009333:Neck; D013967:Thyroiditis, Autoimmune / Q000150:complications; D013971:Thyrotoxicosis / Q000209:etiology*; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood; D014284:Triiodothyronine / Q000097:blood
chemical_list: D001323:Autoantibodies; D018828:Immunoglobulins, Thyroid-Stimulating; D014284:Triiodothyronine; D013972:Thyrotropin; D013974:Thyroxine