20131210亚急性甲状腺炎中西医诊疗漫谈..ppt

亚急性甲状腺炎中西医诊疗漫谈
内容
概述
临床表现
实验室检查
诊断
鉴别诊断
西医治疗
中医治疗
内容
概述
临床表现
实验室检查
诊断
鉴别诊断
西医治疗
中医治疗
References
Slatosky J, Shipton B, Wahba H. Thyroiditis: differential diagnosis and management. Am Fam Physician 2000 Jul 15;62(2):318.
Pearce E, Farwell A, Braverman L. Current Concepts: Thyroiditis NEJM 2003; 348: 2646-55
Nishihara E, Ohye H, Amino N, Takata K, Arishima T, Kudo T, Ito M, Kubota S, Fukata S, Miyauchi A. Clinical characteristics of 852 patients with subacute thyroiditis before treatment. Kuma Hospital, Center for Excellence in Thyroid Care, Kobe. ******@kuma- Intern Med. 2008;47(8):725-9. Epub 2008 Apr 16.
Benbassat CA, Olchovsky D, Tsvetov G, Shimon I. Subacute thyroiditis: clinical characteristics and treatment e in fifty-six consecutive patients diagnosed between 1999 and Institute, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel 49100. .il J Endocrinol Invest. 2007 Sep;30(8):631-5.
Swinburne JL, Kreisman SH. A rare case of subacute thyroiditis causing thyroid storm. Thyroid. 2007 Jan;17(1):73-6.
Thyroiditis – Classification
Hashimoto’s thyroiditis
Chronic lymphocytic thyroiditis, Chronic autoimmune thyroiditis, Lymphadenoid goiter
Painless postpartum thyroiditis
Postpartum thyroiditis, Subacute lymphocytic thyroiditis
Painless sporadic thyroiditis
Silent sporadic thyroiditis, subacute lymphocytic thyroiditis
Painful subacute thyroiditis
Subacute thyroiditis, de Quervain’s thyroiditis, Giant-cell thyroiditis, Subacute granulomatous thyroiditis, pseudogranulomatous thyroiditis
Suppurative thyroiditis
Infectious thyroiditis, Acute suppurative thyroiditis, pyrogenic thyroiditis, bacterial thyroiditis
Drug-induced thyroiditis (amiodarone, lithium, interferon alfa, interleukin-2)
Riedel’s thyroiditis
Fibrous thyroiditis
Subacute thyroiditis - features
5:1 female predominance
Age of onset 20-60y
Prodrome (myalgias, fever, pharyngitis)
Seasonal variation? (correlation with enterovirus?)
Fever/severe neck pain