SUBACUTE THYROIDITIS

1960 ◽  
Vol XXXIII (III) ◽  
pp. 457-472 ◽  
Author(s):  
B.-A. Lamberg ◽  
G. Hintze ◽  
R. Jussila ◽  
M. Berlin
Keyword(s):  
Thyroid Function ◽  
Early Phase ◽  
Radioactive Iodine ◽  
Serum Proteins ◽  
Conversion Ratio ◽  
Subacute Thyroiditis ◽  
Synthetic Analogues ◽  
The Third ◽  
Thyroid Uptake ◽  
Iodine Metabolism

ABSTRACT A series of cases of clinically diagnosed subacute thyroiditis comprising 11 patients is reported. Studies on the iodine metabolism, electrophoretic distribution of the serum proteins and the responsiveness to TSH were carried out. The patients were observed for periods up to 16 months from the onset of the disease. In the early phase there was an elevation of the serum PBI in a few cases and hyperthyroid signs in some, accompanied by depressed thyroid uptake of radioactive iodine and a fairly good response to TSH. Later, the thyroid grew hard and the iodine metabolism changed. In several cases there was a marked increase in the conversion ratio and the serum PB131I level. The responses to TSH was variable for different parameters of thyroid function, suggesting a state of »low thyroid reserve« as defined by Jefferies et al. (1956). Hypothyroidism developed in 3 cases; in two of them there was a response to exogenous TSH, in the third no response was seen at this stage of the disease. Cortisone and synthetic analogues seem to be of great benefit in the treatment of the acute symptoms of the disease.

Thyroid Function Tests During the Early Phase of Subacute Thyroiditis

1977 ◽  
Vol 44 (6) ◽  
pp. 1107-1114 ◽  
Author(s):  
ALBERT C. WEIHL ◽  
GILBERT H. DANIELS ◽  
E. CHESTER RIDGWAY ◽  
FARAHE MALOOF
Keyword(s):  
Thyroid Function ◽  
Early Phase ◽  
Subacute Thyroiditis ◽  
Thyroid Function Tests ◽  
Function Tests

GENERAL ASPECTS OF IODINE METABOLISM IN SPORADIC GOITRE

1963 ◽  
Vol 42 (2) ◽  
pp. 300-308 ◽  
Author(s):  
B. de Crombrugghe ◽  
C. Beckers ◽  
M. De Visscher
Keyword(s):  
Urinary Excretion ◽  
Rate Constants ◽  
Radioactive Iodine ◽  
Normal Subjects ◽  
The Body ◽  
Thyroid Uptake ◽  
Iodine Metabolism ◽  
Inorganic Iodine ◽  
General Aspects ◽  
Stable Iodine

ABSTRACT Studies on iodine metabolism were performed in 17 patients with sporadic non-toxic goitre. A group of 11 normal subjects served as control. These investigations show that goitrous patients are at least iodine deficient: there is a low urinary excretion of stable and radioactive iodine with high thyroid uptake of radioiodine. Various rate constants of the iodide cycle in the body have been calculated. In particular, the concentration of stable iodide in the plasma as well as the pool of inorganic iodine are significantly reduced as compared with controls. The great avidity of the thyroid allowed an equal accumulation of stable iodine per unit of time in goitrous and non-goitrous subjects. Iodine deficiency undoubtly plays a role in the pathogenesis of sporadic non-toxic goitre in Belgium. The importance of lack of iodine is discussed in relation to other goitrogenic factors.

Iodine-132 Uptakes by the Thyroid in Psychotics

1960 ◽  
Vol 106 (445) ◽  
pp. 1371-1376 ◽  
Author(s):  
J. L. Crammer ◽  
W. F. R. Pover
Keyword(s):  
Thyroid Function ◽  
Half Life ◽  
Radioactive Iodine ◽  
Behavioural Change ◽  
Radiation Risk ◽  
The Body ◽  
Manic Depressive ◽  
Thyroid Uptake ◽  
Living Together ◽  
Male Patients

The study of thyroid function as the uptake of radioiodine (I131) is a well-established test. Since the half-life of the isotope is long (8 days) it is unreasonable to make frequent repeated tests in the same person because of the cumulative radiation risk and the complexity of interpretation when residual radioactive iodine is still present in the body. However, in psychiatry daily or twice daily measurements of thyroid function might be very useful in studying patients who show sudden or rapid mental changes (Sands, 1958), and a radioiodine isotope with a half-life of only 2·26 hours which has become more readily available (I132), deserves trial. The primary aim of the present work was to make daily measurements on one man through several short (6-day) cycles of behavioural change. He was predominantly manic-depressive in type and has already been described in detail (Crammer, 1959). To discover how variable the measurement could be, repeated observations were also made on a group of 20 chronic male patients living together and showing an unchanging clinical picture. Observations were repeated on them after three months of chlorpromazine treatment to see whether this would have altered the values obtained for thyroid uptake.

Radioiodine treatment of feline hyperthyroidism in Germany

2002 ◽  
Vol 41 (06) ◽  
pp. 245-251 ◽  
Author(s):  
M. Knietsch ◽  
T. Spillmann ◽  
E.-G. Grünbaum ◽  
R. Bauer ◽  
M. Puille
Keyword(s):  
Radiation Exposure ◽  
Radiation Protection ◽  
Thyroid Function ◽  
Radioiodine Therapy ◽  
Whole Body ◽  
Radioiodine Treatment ◽  
Normal Thyroid ◽  
Normal Thyroid Function ◽  
Body Activity ◽  
Thyroid Uptake

SummaryAim: Establishment of radioiodine treatment of feline hyperthyroidism in veterinary routine in accordance with German radiation protection regulations. Patients and methods: 35 cats with proven hyperthyroidism were treated with 131I in a special ward. Thyroid uptake and effective halflife were determined using gammacamera dosimetry. Patients were released when measured whole body activity was below the limit defined in the German “Strahlenschutzverordnung”. Results: 17/20 cats treated with 150 MBq radioiodine and 15/15 cats treated with 250 MBq had normal thyroid function after therapy, normal values for FT3 and FT4 were reached after two and normal TSH levels after three weeks. In 14 cats normal thyroid function was confirmed by controls 3-6 months later. Thyroidal iodine uptake was 24 ± 10%, effective halflife 2.5 ± 0.7 days. Whole body activity <1 MBq was reached 13 ± 4 days after application of 131I. Radiation exposure of cat owners was estimated as 1.97 Sv/MBq for adults. Conclusion: Radioiodine therapy of feline hyper-thyroidism is highly effective and safe. It can easily be performed in accordance with German radiation protection regulations, although this requires hospitalisation for approximately two weeks. Practical considerations on radiation exposure of cat owners do not justify this long interval. Regulations for the veterinary use of radioactive substances similar to existing regulations for medical use in humans are higly desirable.

EPIDEMIC THYROIDITIS

1964 ◽  
Vol 45 (3) ◽  
pp. 381-401 ◽  
Author(s):  
G. Hintze ◽  
P. Fortelius ◽  
J. Railo
Keyword(s):  
Thyroid Gland ◽  
Distribution Pattern ◽  
Needle Biopsy ◽  
Serum Proteins ◽  
Acute Infection ◽  
Thyroid Tissue ◽  
Subacute Thyroiditis ◽  
Present Observation ◽  
Upper Respiratory Tract ◽  
Endemic Goitre

ABSTRACT A type of subacute thyroiditis occurring epidemically in a factory in Helsinki was observed in 44 cases. In every case the thyroiditis followed an acute infection of the upper respiratory tract. The variation in incidence during one and a half years was in good agreement with that of the acute infection. Since Helsinki is in an endemic goitre region, the fact that the disease was of the migrating type was of great diagnostic importance. In all cases but one, the nodules have persisted. One case of asymptomatic thyroiditis was seen. In the majority of the patients the thyroid gland had been carefully palpated before the thyroiditis occurred, and in all cases the condition was followed up by the same investigator. Special attention was paid to changes in the iodine metabolism, the serum cholesterol, the electrophoretic distribution pattern of the serum proteins, and the circulating thyroid auto-antibodies. In many cases needle biopsy of the thyroid gland was performed. Thyroid function invariably returned to normal with time, although one patient remained in a hypothyroid state for about a year. In no cases were thyroid auto-antibodies found. For the beta-globulin fraction, the electrophoretic distribution pattern of the serum proteins gave values which were still not normalized in any case, and only in two cases was the alpha2-fraction normalized. The needle biopsy, when thyroid tissue was obtained, showed almost the same picture as in endemic goitre, but in some specimens nonspecific inflammatory changes were seen. Prednisolone relieved the symptoms, but did not affect the course of the disease. According to the present observation this type of epidemic thyroiditis would seem to represent a form of nonspecific subacute thyroiditis.

The Effects of L-Thyroxine Sodium on Nontoxic Goiter, on Myxedema and on the Thyroid Uptake of Radioactive Iodine

1952 ◽  
Vol 247 (23) ◽  
pp. 897-899 ◽  
Author(s):  
Solomon Papper ◽  
Belton A. Burrows ◽  
Sidney. H. Ingbar ◽  
John H. Sisson ◽  
Joseph F. Ross
Keyword(s):  
Radioactive Iodine ◽  
Nontoxic Goiter ◽  
Thyroid Uptake

scholarly journals Case Report: De Quervain’s Thyroiditis as a Long-Term Sequelae Complication to SARS-CoV-2 Infection

2021 ◽  
pp. 64-70
Author(s):  
Mark Kong ◽  
Sarah La Porte
Keyword(s):  
Case Report ◽  
Thyroid Function ◽  
Elevated Serum ◽  
Subacute Thyroiditis ◽  
Thyroid Function Tests ◽  
Thyroid Function Testing ◽  
Neck Lump ◽  
Function Testing

A 44-year-old man presented with an enlarged painful lower anterior neck lump with elevated serum concentrations of free thyroxine (T4) and tri-iodothyronine (T3), alongside the presence of antithyroid peroxidase antibodies. Prior to presentation, the patient was demonstrating recovery from a SARS-CoV-2 infection that required sedation, intubation, and invasive ventilation in the intensive care unit (ICU) for 11 days. Ultrasound examination of the thyroid demonstrated features of De Quervain’s (subacute) thyroiditis. This corresponded to the clinical picture, and continuous thyroid function tests were arranged. Emerging evidence throughout the SARS-CoV-2 pandemic describes the long-term sequelae of the infection, including developing atypical effects on the thyroid gland. This case report emphasises the association of painful subacute thyroiditis with post-viral infection and its manifestation during recovery from severe SARS-CoV-2, suggesting that follow-up thyroid function testing should be considered in patients discharged from the ICU who develop neck discomfort.

THYROID FUNCTION TESTS: A REVIEW

2021 ◽  
pp. 73-76
Author(s):  
Vasudev Sankhla ◽  
Aman Deep
Keyword(s):  
Thyroid Function ◽  
Thyroid Dysfunction ◽  
Radioactive Iodine ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Function Tests ◽  
Function Tests ◽  
Tsh Secretion ◽  
Line Test ◽  
Radioactive Iodine Uptake

Thyroid function tests are one of the most common endocrine panels in general practice because a good understanding of when to order them, indications for treatment are important for the optimal treatment of thyroid dysfunction. Thyroid-stimulating hormone (TSH) should be the rst test to be performed on any patient with suspected thyroid dysfunction and in follow-up of individuals on treatment. It is useful as a rst-line test because even small changes in thyroid function are sufcient to cause a signicant increase in TSH secretion. Thyroxine levels may be assessed in a patient with hyperthyroidism, to determine the severity of hyperthyroxinemia. Antithyroid peroxidase measurements should be considered while evaluating patients with subclinical hypothyroidism and can facilitate the identication of autoimmune thyroiditis during the evaluation of nodular thyroid disease. The measurement of TSH receptor antibody must be considered when conrmation of Graves’ disease is needed and radioactive iodine uptake cannot be done.

THE INFLUENCE OF THE PLASMA INORGANIC IODINE CONCENTRATION ON THYROID FUNCTION IN DEHALOGENASE DEFICIENCY

1967 ◽  
Vol 55 (2) ◽  
pp. 361-368 ◽  
Author(s):  
R. McG. Harden ◽  
W. D. Alexander ◽  
S. Papadopoulos ◽  
M. T. Harrison ◽  
S. Macfarlane
Keyword(s):  
Thyroid Hormone ◽  
Thyroid Function ◽  
Iodine Concentration ◽  
Rapid Rise ◽  
Normal Range ◽  
Hormone Synthesis ◽  
Thyroid Hormone Synthesis ◽  
Iodine Metabolism ◽  
Inorganic Iodine ◽  
Circulating Levels

ABSTRACT Iodine metabolism and thyroid function were studied in a patient with hypothyroidism and goitre due to dehalogenase deficiency. Initially the plasma inorganic iodine (PII) level was within the normal range but circulating levels of hormone were low and the thyroid clearance and absolute uptake of iodine (AIU) by the thyroid were high. Administration of iodide supplements resulted in a rapid rise in the plasma thyroxine concentration and restoration of the euthyroid state. Thyroid hormone synthesis appeared to proceed normally when the PII exceeded 1.0 μg/100 ml. This was achieved by increasing the intake of iodide by 612 μg per day. At PII levels around 10 μg/100 ml there was evidence of increased levels of circulating thyroid hormone.

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