Supporting Hours : Monday to Saturday - 8am to 10pm
New Visit

Painless Thyroiditis

 Syn. Silent thyroiditis , Subacute lymphocytic thyroiditis , Lymphocytic thyroiditis with spontaneously resolving hyperthyroidism

Signs & Symptoms

 History of treated with Interferon alfa
Ref: Uptodate [ Painless thyroiditis]
History of treated with Interleukin-2
Ref: Uptodate [ Painless thyroiditis]
Tyrosine kinase inhibitor
Ref: Uptodate [ Painless thyroiditis]
Cytotoxic T-lymphocyte-associated antigen 4
Ref: Uptodate [ Painless thyroiditis]

Physical Examination

 Diffusely enlarged thyroid gland
Ref: Uptodate [ Painless thyroiditis] Epocrates [ History & Exam]
Firm thyroid gland
Ref: Uptodate [ Painless thyroiditis]
Tender thyroid gland (negative symptom)
Note: Hyperthyroidism phase
Ref: Uptodate [ Painless thyroiditis]

Lab / Serology

 Elevated serum free T4
Note: Hyperthyroidism phase
Ref: Uptodate [ Painless thyroiditis] Epocrates [ Tests]
Moderately elevated serum free T4
Note: Hyperthyroidism phase
Ref: Uptodate [ Painless thyroiditis] Epocrates [ Tests]
Total T3-T4 lower than 20
Ref: Epocrates [ tests]

Imagin Study

 Diffusely enlarged thyroid gland
Ref: Uptodate [ Painless thyroiditis] Epocrates [ History & Exam]
Heterogeneous hypoechogenic normal-sized thyroid gland
Ref: Uptodate [ Painless thyroiditis]
Heterogeneous hypoechogenic thyroid gland
Ref: Uptodate [ Painless thyroiditis]

Complication

 Permanent hypothyroidism
Ref: Epocrates [ Highlights & Basics]

Risk Factors

Cause

Other