Subacute thyroiditis

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Subacute thyroiditis is also known as subacute granulomatous thyroiditis. The condition is painful and common, so medical examination and treatment cooperation needs to be detected in time to avoid consequences affecting your health and daily activities.

1. Causes and mechanism of subacute thyroiditis

When the patient has thyroiditis, thyroid cells are destroyed, releasing FT3, FT4, TSH lower, causing thyrotoxicosis syndrome. Iodine absorption and hormone synthesis decrease gradually due to destruction of thyroid cells. Neutral single-cell and multinucleated permeation.
Presence of granulomas with surrounding epithelioid cells, presence of multinucleated giant cells. In the late stage, fibrous tissue can be permeable. Although the thyroid gland is greatly damaged during the full-blown stage, the parenchymal structure later returns to normal.

2. Did you know you have subacute thyroiditis?

Subacute thyroiditis is 5 times more common in women than in men, the highest concentration is from 20-60 years old. The disease often occurs after upper respiratory tract infections, the incidence is high in the summer.
Usually, flu syndrome appears, fatigue, headache, muscle aches, joint pain, sore throat, weight loss. Mild fever 37.5 - 38oC. Symptoms in the early stages are usually body aches, sore throat, low-grade fever. Then often suddenly or gradually appear high fever, pain in the neck area. The thyroid gland is 2-3 times larger than normal. Pain may spread to the ears, all over the neck, limit neck movement, and the patient may have difficulty swallowing and breathing.
Symptoms of thyrotoxicosis are seen in more than 50% of patients, usually with mild to moderate hyperthyroidism, tachycardia, tremor, and sweating.

3. Treatment of subacute thyroiditis

Depending on the patient's condition with subacute thyroid disease, different levels of treatment are indicated as follows:

3.1 Subacute thyroiditis in mild form

Pain relief:
Aspirin (Aspegic): 1-3g/day Non-steroidal anti-inflammatory drugs: Voltaren 50mg 3 times/day or Paracetamol.

3.2 Subacute thyroiditis in severe form

Prednisolone 20-40mg/day orally for 2-3 weeks, gradually reduce the dose for 3 weeks, after 6 weeks can stop. A good response to prednisolone treatment is diagnostic. In some cases, symptoms returned when prednisolone was stopped.
In case of manifestation of hyperthyroidism, Avlocardyl sympathomimetic therapy is given 1-2 tablets/day in divided doses. Prolonged hypothyroidism can be treated with Levothyroxine. There are no indications for antithyroid therapy. Currently, Vinmec International General Hospital has brought the SPECT/CT Discovery NM/CT 670 Pro equipment system with the most modern 16-series CTs of the world's leading medical equipment company GE Healthcare (USA) into the world. in the diagnosis and evaluation of thyroid diseases. Accordingly, the entire examination process at Vinmec is performed by a team of experienced, well-trained medical staff at home and abroad, so they can advise and provide maximum support to customers during the treatment. treat later. Customers who need examination and treatment can contact the hospital for service.