ECE2021 Eposter Presentations Thyroid (43 abstracts)
DeQuervain’s subacute thyroiditis
Hadj Kacem Faten 1 , Molka Ben Bnina 2 , Kouloud Boujelben 1 , Mouna Elleuch 1 , Dhouha Ben Salah 1 , Nadia Charfi 1 , Nabila Rekik 1 , Mouna Mnif 1 , Fatma Mnif 1 & Mohamed Abid 1
1Hedi Chaker Hospital, Endocrinology and Diabetology, Tunisia; 2Farhat Hached Hospital, Endocrinology and Diabetology, Tunisia
Introduction
DeQuervain’s subacute thyroiditis (DST) is a rare pathology, defined by the involvement of the thyroid gland by an inflammatory process probably of viral origin, not suppurative and not autoimmune. In this context, we report 4 cases of TSD followed up in the endocrinology department over a period of 23 years, to highlight diagnostic and therapeutic particularities.
Results
The average age was 38.5 years with extremes ranging from 31 to 46 years. The sex ratio was equal to 0.33. A family history of goiter existed in one patient. The reason for consultation was anterior cervicalgia occurring as a result of influenza-like illness with a biological inflammatory syndrome in all patients. A goiter was found in all 4 patients, compressive and painful in three of them. One patient had hypothyroidism, the other 3 had hyperthyroidism. The anti-thyroperoxydase antibodies were positive in 2 patients. The scintigraphy was white in all 4 patients. Beta-blockers were considered in 2 patients, associated with corticosteroids in the first and non-steroidal anti-inflammatory drugs (NSAIDs) in the second patient. Therapeutic abstention was indicated for the third case. l-thyroxine was prescribed in patient with deep hypothyroidism. The evolution was favorable with return to euthyroidia in 3 patients but the fourth was lost sight of.
Conclusion
DST is an easy-to-diagnose pathology, usually of favourable evolution. The use of NSAIDs or corticosteroids may be necessary. Cases of definitive hypothyroidia are possible.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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