[Prolonged fever in painless subacute thyroiditis--diagnosis by gallium scan].
Patients with subacute, granulomatous thyroiditis usually present with a typical clinical picture of fever, anterior neck pain and an exquisitely tender thyroid. Abnormal thyroid function tests and suppressed radio-iodine uptake strongly support the diagnosis. Occasionally the disease may simulate systemic or malignant disease when it presents atypically, without signs or symptoms directly related to the thyroid, We report a 43-year-old man who presented with fever of unknown origin. A diagnosis of silent thyroiditis was made from evidence of biochemical thyrotoxicosis, intense gallium-67 citrate thyroidal localization, and an excellent response to aspirin.
Baytner-Zamir
H
H
Medicine B Dept., Hillel Yaffe Medical Center, Hadera.
Zelikovsky
L
L
Jarchowsky
J
J
D000328:Adult; D001241:Aspirin / Q000627:therapeutic use; D005334:Fever; D005710:Gallium Radioisotopes; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D011877:Radionuclide Imaging; D013960:Thyroid Function Tests; D013961:Thyroid Gland / Q000000981:diagnostic imaging; D013966:Thyroiditis / Q000000981:diagnostic imaging* / Q000503:physiopathology
D005710:Gallium Radioisotopes; D007457:Iodine Radioisotopes; D001241:Aspirin