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Painful thyroid nodule, a misleading presentation of subacute thyroiditis.

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Jonas, Corinne [UCL] Bertrand, Claude [UCL] Michel, Luc [UCL] Donckier, Julian [UCL]

Typical presentation of subacute thyroiditis (SAT) is an anterior neck pain radiating up to the jaw and ear, often associated with asthenia and fever. Biology shows hyperthyroidism and inflammation. The thyroid uptake is low at scintigraphy. However, the clinical presentation of SAT may be misleading. We report two cases of SAT whose initial manifestation was a painful thyroid nodule suspected of malignancy. In both cases, ultrasound feature was a heterogeneous, hypoechoic, ill-defined area with a low vascularization on colour Doppler. These areas were interpreted by radiologist as nodules. Surgery was then considered. Such a presentation should be known by clinicians to prevent unnecessary surgery.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès interdit
Publication date 2016
Language Anglais
Journal information "Acta Chirurgica Belgica" - Vol. 116, no. 5, p. 301-304 (2016)
Peer reviewed yes
Publisher Taylor & Francis ((United Kingdom) London)
issn 0001-5458
Publication status Publié
Affiliations UCL - SSS/IREC/MONT - Pôle Mont Godinne
UCL - (MGD) Service de médecine interne générale - endocrinologie
UCL - (MGD) Service de chirurgie
UCL - SSS/IREC/EDIN - Pôle d'endocrinologie, diabète et nutrition
UCL - SSS/IREC/CHEX - Pôle de chirgurgie expérimentale et transplantation
Keywords de Quervain thyroiditis; subacute thyroiditis; thyroid nodule; thyroid ultrasound
Links
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Bibliographic reference Jonas, Corinne ; Bertrand, Claude ; Michel, Luc ; Donckier, Julian. Painful thyroid nodule, a misleading presentation of subacute thyroiditis.. In: Acta Chirurgica Belgica, Vol. 116, no. 5, p. 301-304 (2016)
Permanent URL http://hdl.handle.net/2078.1/176347