Indian Journal of Endocrinology and Metabolism

CASE-BASED REVIEW OF LITERATURE
Year
: 2012  |  Volume : 16  |  Issue : 3  |  Page : 444--446

Should neck pain in a patient with Hashimoto俟Q製 thyroiditis be underestimated? A case and review of the literature


Umut Mousa, Anil Cuneyd, Gursoy Alptekin 
 Department of Endocrinology and Metabolism, Baskent University Faculty of Medicine, Ankara, Turkey

Correspondence Address:
Umut Mousa
Department of Endocrinology and Metabolism, Baskent University Hospital, 5. Sok. No: 48, Bahcelievler Ankara
Turkey

Hashimoto俟Q製 Thyroiditis (HT) is an autoimmune disease and the most frequent cause of hypothyroidism. Subacute thyroiditis (SAT) overlapping HT is a rare entity. A 69-year-old female patient with HT and multinodular goiter has been followed on levothyroxine replacement therapy for 7 years. She presented with neck pain radiating to the right ear persisting for 2 months. She was prescribed analgesics and antibiotics by other physicians during that period, which did not work. Her vital signs were stable with no tachycardia or fever. The right lobe of the thyroid gland was tender on palpation. Her TSH level was 3.94 mIU/ml, ESR 23 mm/h, CRP 3.2 mg/l, WBC 4900/μl at presentation. Thyroid ultrasonography revealed a hypoechoic area over the tender lobe. Power Doppler imaging revealed almost no blood flow in that area. She was started on methylprednisolone 32 mg/day. At day 10 of therapy, her symptoms had completely resolved. Ultrasonography repeated showed that the hypoechoic area had disappeared. Glucocorticoid dosage was tapered and stopped. Emergence of subacute thyroiditis in a case with preexisting Hashimoto俟Q製 thyroiditis is a quite rare condition, but should be kept in mind along with a painful attack of HT in the differential diagnosis.


How to cite this article:
Mousa U, Cuneyd A, Alptekin G. Should neck pain in a patient with Hashimoto's thyroiditis be underestimated? A case and review of the literature.Indian J Endocr Metab 2012;16:444-446


How to cite this URL:
Mousa U, Cuneyd A, Alptekin G. Should neck pain in a patient with Hashimoto's thyroiditis be underestimated? A case and review of the literature. Indian J Endocr Metab [serial online] 2012 [cited 2020 Oct 26 ];16:444-446
Available from: https://www.ijem.in/article.asp?issn=2230-8210;year=2012;volume=16;issue=3;spage=444;epage=446;aulast=Mousa;type=0