桥本甲状腺炎合并亚急性甲状腺炎20例临床分析

Clinical analysis of 20 cases of Hashimoto＇s thyroiditis complicated with subacute thyroiditis

回顾性分析2009年2月至2013年4月期间20例桥本甲状腺炎合并亚急性甲状腺炎患者的临床资料.85％患者红细胞沉降率、C反应蛋白升高,95％抗甲状腺过氧化酶抗体明显升高,100％抗甲状腺球蛋白抗体明显升高,摄碘率均低下,给予糖皮质激素或非甾体抗炎药后发热、颈部压痛症状缓解迅速.

Clinical data were retrospectively analyzed in 20 cases with Hashimoto＇s thyroiditis complicated with subacute thyroiditis from February 2009 to April 2013.85％ of the patients showed elevated erythrocyte sedimentation rate （ESR） and C-reactive protein （CRP）.Thyroid peroxidase antibody （TPOAb） was found in 95 ％ of the patients,while thyroid globulin antibody （TgAb） in 100％.Uptakes of radioactive iodine were lowered.Symptoms such as fever or pain were ameliorated quickly after treatment with glucocorticoids or non-steroidal anti-inflammatory drugs.