亚急性甲状腺炎诊治

Diagnosis and therapy of subacute thyroiditis

亚急性甲状腺炎是一种自限性甲状腺炎症性疾病,其发病与病毒感染密切相关,典型的临床表现为甲状腺的疼痛和触痛,诊断和鉴别诊断手段包括病史、临床表现、实验室检查、超声检查和甲状腺核素扫描等。对亚急性甲状腺炎,目前主要使用解热镇痛药或非甾体类抗炎药以及糖皮质激素治疗,必要时可使用β-受体阻滞剂来控制患者的甲状腺功能亢进症状,有一过性或永久性甲状腺功能减退症状的则应给予左甲状腺素替代治疗。

Subacute thyroiditis is a self-limiting inflammatory disease of thyroid and its onset is closely associated with virus infection. The typical clinical features of this disease include painfulness and tenderness of thyroid. The methods for its diagnosis and differential diagnosis include medical history, clinical manifestations, laboratory tests, ultrasound and nuclide scan of thyroid. The antipyretic analgesics or non-steroidal anti-inflammatory drugs and glucocorticoids can be used for the treatment of subacute thyroiditis. The symptoms of hyperthyroidism can be controlled with b-receptor blockers if necessary while levothyroxine replacement therapy can be used in patients with the symptoms of transient or permanent hypothyroidism.