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Subacute thyroiditis
Also known as De Quervain Thyroiditis
Subacute thyroiditis is an intriguing form of thyroiditis that can be a cause of both thyrotoxicosis and hypothyroidism. It is uncommon and can affect individuals of both sexes and all ages. The most common form, subacute granulomatous, or de Quervain's, thyroiditis manifests as a sudden and painful enlargement of the thyroid gland accompanied with fever, malaise and muscle aches. Some have suggested that its cause might be viral in origin.
Source: WikipediaWhat are the symptoms?
Within all the people who go to their doctor with subacute thyroiditis, 40% report having problems during pregnancy, 29% report having pain during pregnancy, and 24% report having uterine contractions. The symptoms that are highly suggestive of subacute thyroiditis are problems during pregnancy and uterine contractions, although you may still have subacute thyroiditis without those symptoms.
What might my doctor prescribe?
Common Tests and Procedures
Patients with subacute thyroiditis often receive hematologic tests, radiographic imaging procedure, urinalysis, pelvis exam, ultrasonography, glucose measurement, examination of breast and other diagnostic procedures (interview; evaluation; consultation) .
Common Medications
The most commonly prescribed drugs for patients with subacute thyroiditis include thyroxine (synthroid), propylthiouracil, pyridoxine, thyroid (usp) (armour thyroid), cabergoline, cromolyn (viz-on), dapsone, methyldopa, ursodiol (urso), terconazole topical, atazanavir (reyataz), progesterone and multivitamin, prenatal .
| Thyroxine (Synthroid) | $8 (28 days) | |
| Propylthiouracil | $10 (28 days) | |
| Pyridoxine | ||
| Thyroid (Usp) (Armour Thyroid) | $7 (28 days) | |
| Cabergoline | $197 (28 days) | |
| Cromolyn (Viz-On) | $39 (28 days) | |
| Dapsone | $40 (28 days) | |
| Methyldopa | $12 (28 days) | |
| Ursodiol (Urso) | ||
| Terconazole Topical | ||
| Atazanavir (Reyataz) | $880 (28 days) | |
| Progesterone | $56 (28 days) | |
| Multivitamin, Prenatal |
Who is at risk?
Groups of people at highest risk for subacute thyroiditis include race/ethnicity = other, age 30-44 years, race/ethnicity = hispanic, sex == female and age 15-29 years. On the other hand, age 75+ years, sex == male, age 60-74 years, age 5-14 years, age 1-4 years, age 45-59 years, and age < 1 years almost never get subacute thyroiditis.
Age
| < 1 years | 0.0x | |
| 1-4 years | 0.0x | |
| 5-14 years | 0.0x | |
| 15-29 years | 2.7x | |
| 30-44 years | 2.6x | |
| 45-59 years | 0.0x | |
| 60-74 years | 0.0x | |
| 75+ years | 0.0x |
Sex
| Male | 0.0x | |
| Female | 1.7x |
Race/Ethnicity
| Black | 0.9x | |
| Hispanic | 1.6x | |
| White | 0.7x | |
| Other | 2.8x |
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