Recurrence of subacute thyroiditis over 10 years after the first attack in three cases.
We saw a total of 4 episodes of the recurrence of subacute thyroiditis in 3 patients out of 222. The recurrent episodes were similar to the first episodes of subacute thyroiditis. The titers of various viral antibodies were not increased significantly during the clinical course of the recurrence. Regarding the HLA typing, A26, B35 and C3 were positive in all 3 patients. The association between the occurrence of subacute thyroiditis and the presence of HLA-B35 and C3 has hitherto been reported, although the association of HLA-A26 with recurrent type of subacute thyroiditis was observed and described for the first time in this report. It is suggested that HLA-A26 may somehow be related to the predisposition to the recurrence of subacute thyroiditis which developed after more than 10 years.
Yamamoto
M
M
Second Department of Internal Medicine, Tohoku University School of Medicine, Japan.
Saito
S
S
Sakurada
T
T
Tamura
M
M
Kudo
Y
Y
Yoshida
K
K
Kaise
K
K
Kaise
N
N
Fukazawa
H
H
Itagaki
Y
Y
D000328:Adult; D000914:Antibodies, Viral / Q000032:analysis*; D005260:Female; D006680:HLA Antigens / Q000032:analysis*; D006801:Humans; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D012008:Recurrence; D013954:Thyroglobulin / Q000097:blood; D013961:Thyroid Gland / Q000473:pathology; D013963:Thyroid Hormones / Q000097:blood*; D013968:Thyroiditis, Subacute / Q000188:drug therapy / Q000235:genetics / Q000378:metabolism*; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood; D014284:Triiodothyronine / Q000097:blood
D000914:Antibodies, Viral; D006680:HLA Antigens; D013963:Thyroid Hormones; D014284:Triiodothyronine; D013972:Thyrotropin; D013954:Thyroglobulin; D011239:Prednisolone; D013974:Thyroxine