Author/Authors :
Ishii, Hiroaki Shinshu University - School of Medicine - Department of Aging Medicine and Geriatrics, Japan , Takei, Masahiro Shinshu University - School of Medicine - Department of Aging Medicine and Geriatrics, Japan , Sato, Yoshihiko Shinshu University - School of Medicine - Department of Aging Medicine and Geriatrics, Japan , Ito, Tokiko Shinshu University - School of Medicine - Department of Surgery, Division of Breast and Endocrine Surgery, Japan , Ito, Ken-ichi Shinshu University - School of Medicine - Department of Surgery, Division of Breast and Endocrine Surgery, Japan , Sakai, Yasuhiro Shinshu University - School of Medicine - Department of Molecular Pathology, Japan , Yumita, Wataru Ina Central Hospital - Department of Internal Medicine, Japan , Suzuki, Satoru Shinshu University - School of Medicine - Department of Aging Medicine and Geriatrics, Japan , Komatsu, Mitsuhisa Shinshu University - School of Medicine - Department of Aging Medicine and Geriatrics, Japan
Abstract :
Objective: To report a case of severe and recurrent painless thyroiditis requiring thyroidectomy. Clinical Presentation and Intervention: A 47-year-old man who presented with severe thyrotoxicosis was found to have extremely low radioactive iodine uptake, negative TSH receptor antibodies, and normal C-reactive protein; these findings suggested a diagnosis of painless thyroiditis. Due to the severity and recurrence of thyrotoxicosis, surgical resection of the thyroid gland was performed to prevent a thyrotoxic storm. Histological examination revealed typical lymphoid infiltration of the thyroid gland. Conclusion: This case illustrates that a patient with painless thyroiditis was successfully treated with surgery.
Keywords :
Thyroid disease , Thyroid function , Thyroid surgery , Thyrotoxicosis
