A Case of Acute Suppurative Thyroiditis with Thyrotoxicosis in an Elderly Patient
김보상, 남길우, 김정은, 박지훈, 윤준식, 박정환, 홍상모, 이창범, 박용수, 최웅환, 안유헌, 김동선,
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김보상 ( Kim Bo-Sang )
Hanyang University College of Medicine Department of Internal Medicine
남길우 ( Nam Kil-woo )
Hanyang University College of Medicine Department of Internal Medicine
김정은 ( Kim Jeong-Eun )
Hanyang University College of Medicine Department of Internal Medicine
박지훈 ( Park Ji-Hoon )
Hanyang University College of Medicine Department of Internal Medicine
윤준식 ( Yoon Jun-Sik )
Hanyang University College of Medicine Department of Internal Medicine
박정환 ( Park Jung-Hwan )
Hanyang University College of Medicine Department of Internal Medicine
홍상모 ( Hong Sang-Mo )
Hanyang University College of Medicine Department of Internal Medicine
이창범 ( Lee Chang-Bum )
Hanyang University College of Medicine Department of Internal Medicine
박용수 ( Park Yong-Soo )
Hanyang University College of Medicine Department of Internal Medicine
최웅환 ( Choi Woong-Hwan )
Hanyang University College of Medicine Department of Internal Medicine
안유헌 ( Ahn You-Hern )
Hanyang University College of Medicine Department of Internal Medicine
김동선 ( Kim Dong-Sun )
Hanyang University College of Medicine Department of Internal Medicine
KMID : 0356620130280010050
Abstract
Acute suppurative thyroiditis (AST) is a rare condition, as the thyroid gland is relatively resistant to infection. Thyroid function tests are usually normal in AST. A few cases of AST associated with thyrotoxicosis have been reported in adults. We report a case of AST that was associated with thyrotoxicosis in a 70-year-old woman. We diagnosed AST with thyroid ultrasonography and fine needle aspiration of pus. The patient improved after surgical intervention and had no anatomical abnormality. Fine needle aspiration is the best method for the difficult task of differentiating malignancy and subacute thyroiditis from AST with thyrotoxicosis. Earlier diagnosis and proper treatment for AST might improve the outcome.
키워드
Thyroiditis;suppurative;Biopsy;fine-needle;Thyrotoxicosis
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