Subacute Thyroiditis – literature overview and COVID-19

Authors

DOI:

https://doi.org/10.20883/medical.e472

Keywords:

subacute thyroiditis, de quervain thyroiditis, COVIS-19, SARS-CoV-2

Abstract

Subacute thyroiditis (SAT), also known as de Quervain’s thyroiditis, is a rare thyroid gland disorder, although it is the most common type of painful thyroiditis. The incidence of this disorder is relatively low but likely to be underestimated. Epidemiological studies vary, estimating a prevalence of 12/100,000/year and patients with SAT constitute less than 5% of all patient consultations due to thyroid disease. For the reason, that SAT can present with a variety of symptoms to different specialists. This review summarises current knowledge of SAT with an emphasis on reports related to SARS-CoV-2.

Downloads

Download data is not yet available.

References

Feinmesser M, Murray D, Colapinto N, Asa SL (1992) Granulomatous and lymphocytic thyroiditis associated with a follicular adenoma. Endocr Pathol 3:105–109. https://doi.org/https://doi.org/10.1007/BF02921350.

Raj R, Yada S, Jacob A, Unnikrishnan D, Ghali W (2018) Fever of unknown origin as a sole presentation of subacute thyroiditis in an elderly patient: A case report with literature review. Case Reports in Endocrinology 2018:e5041724. https://doi.org/10.1155/2018/5041724.

Goel R, Abzug JM (2015) de Quervain’s tenosynovitis: a review of the rehabilitative options. Hand 10:1–5. https://doi.org/10.1007/s11552-014-9649-3.

Schenke S, Klett R, Braun S, Zimny M (2013) Thyroiditis de Quervain. Nuklearmedizin 52:137–140. https://doi.org/10.3413/Nukmed-0536-12-10.

Abellán Galiana P, Pérez-Lázaro A, Aguilera Sancho-Tello V, Merino Torres JF, Berenguer Haym M, Piñón Sellés F (2009) Tiroiditis subaguda inducida por el tratamiento con interferón alfa pegilado y ribavirina en un caso de hepatitis crónica por virus C. Endocrinología y Nutrición 56:136–139. https://doi.org/10.1016/S1575-0922(09)70844-7.

Assir MZK, Jawa A, Ahmed HI (2012) Expanded dengue syndrome: subacute thyroiditis and intracerebral haemorrhage. BMC Infectious Diseases 12:240. https://doi.org/10.1186/1471-2334-12-240.

Cunha BA, Berbari N (2013) Subacute thyroiditis (de Quervain’s) due to influenza A: presenting as fever of unknown origin (FUO). Heart Lung 42:77–78. https://doi.org/10.1016/j.hrtlng.2012.05.005.

Yasuji I (2013) Subacute thyroiditis in a patient with juvenile idiopathic arthritis undergoing etanercept treatment: a case report and review of the literature. Modern Rheumatology 23:397–400. https://doi.org/10.3109/s10165-012-0670-5.

Stasiak M, Tymoniuk B, Michalak R, Stasiak B, Kowalski ML, Lewiński A (2020) Subacute thyroiditis is associated with HLA-B*18:01, -DRB1*01 and -C*04:01—The significance of the new molecular background. J Clin Med. https://doi.org/10.3390/jcm9020534

Kramer AB, Roozendaal C, Dullaart RPF (2004) Familial occurrence of subacute thyroiditis associated with human leukocyte antigen-B35. Thyroid 14:544–547. https://doi.org/10.1089/1050725041517048.

Singhal T (2020) A Review of Coronavirus Disease-2019 (COVID-19). Indian J Pediatr 87:281–286. https://doi.org/10.1007/s12098-020-03263-6.

Brancatella A, Ricci D, Cappellani D, Viola N, Sgrò D, Santini F, Latrofa F (2020) Is subacute thyroiditis an underestimated manifestation of SARS-CoV-2 infection? Insights from a case series. J Clin Endocrinol Metab. https://doi.org/10.1210/clinem/dgaa537

Brancatella A, Ricci D, Viola N, Sgrò D, Santini F, Latrofa F (2020) Subacute thyroiditis after Sars-COV-2 infection. J Clin Endocrinol Metab. https://doi.org/10.1210/clinem/dgaa276

Ruggeri RM, Campennì A, Siracusa M, Frazzetto G, Gullo D (2020) Subacute thyroiditis in a patient infected with SARS-COV-2: an endocrine complication linked to the COVID-19 pandemic. Hormones 1–3. https://doi.org/10.1007/s42000-020-00230-w

Ippolito S, Dentali F, Tanda ML (2020) SARS-CoV-2: a potential trigger for subacute thyroiditis? Insights from a case report. J Endocrinol Invest 1–2. https://doi.org/10.1007/s40618-020-01312-7.

Mattar SAM, Koh SJQ, Rama Chandran S, Cherng BPZ (2020) Subacute thyroiditis associated with COVID-19. BMJ Case Rep. https://doi.org/10.1136/bcr-2020-237336.

Passah A, Arora S, Damle NA, Reddy KS, Khandelwal D, Aggarwal S (2018) Occurrence of subacute thyroiditis following influenza vaccination. Indian J Endocrinol Metab 22:713–714. https://doi.org/10.4103/ijem.IJEM_237_18.

Mo Z, Dong Y, Chen X, Yao H, Zhang B (2016) Acute transverse myelitis and subacute thyroiditis associated with dengue viral infection: A case report and literature review. Exp Ther Med 12:2331–2335. https://doi.org/10.3892/etm.2016.3604.

Mathew J (2018) Clostridium difficile colitis in the setting of subacute thyroiditis: the chicken or the egg. BMJ Case Rep. https://doi.org/10.1136/bcr-2018-226711.

Surks MI, Sievert R (1995) Drugs and thyroid function. N Engl J Med 333:1688–1694. https://doi.org/10.1056/NEJM199512213332507.

Kawashima J, Naoe H, Sasaki Y, Araki E (2015) A rare case showing subacute thyroiditis-like symptoms with amyloid goiter after anti-tumor necrosis factor therapy. Endocrinol Diabetes Metab Case Rep 2015:140117. https://doi.org/10.1530/EDM-14-0117.

Wei Y-A, Chuang W-C, Hong C-H (2018) Subacute thyroiditis in a patient with psoriasis treated with a tumor necrosis factor-α inhibitor. Int J Dermatol 57:869–871. https://doi.org/10.1111/ijd.13941.

Salih AM, Kakamad FH, Rawezh QS, Masrur SA, Shvan HM, Hawbash MR, Lhun TH (2017) Subacute thyroiditis causing thyrotoxic crisis; a case report with literature review. Int J Surg Case Rep 33:112–114. https://doi.org/10.1016/j.ijscr.2017.02.041.

Nishihara E, Amino N, Ohye H, Ota H, Ito M, Kubota S, Fukata S, Miyauchi A (2009) Extent of hypoechogenic area in the thyroid is related with thyroid dysfunction after subacute thyroiditis. J Endocrinol Invest 32:33–36. https://doi.org/10.1007/BF03345675.

Nishihara E, Ohye H, Amino N, Takata K, Arishima T, Kudo T, Ito M, Kubota S, Fukata S, Miyauchi A (2008) Clinical characteristics of 852 patients with subacute thyroiditis before treatment. Intern Med 47:725–729. https://doi.org/10.2169/internalmedicine.47.0740.

Sherman SI, Ladenson PW (2007) Subacute thyroiditis causing thyroid storm. Thyroid. https://doi.org/10.1089/thy.2007.0070

Subacute thyroiditis - UpToDate. http://www-1uptodate-1com-1oaxngsms00d5.han.ump.edu.pl/contents/subacute-thyroiditis?search=subacute%20thyroiditis&source=search_result&selectedTitle=1~38&usage_type=default&display_rank=1#H6. Accessed 7 Sep 2020

Hernik A, Szczepanek-Parulska E, Filipowicz D, Czarnywojtek A, Wrotkowska E, Kramer L, Urbanovych A, Ruchała M (2019) Hepcidin and iron homeostasis in patients with subacute thyroiditis and healthy subjects. Mediators of Inflammation 2019:1–9. https://doi.org/10.1155/2019/5764061.

Stasiak M, Lewiński A (2020) Strong correlation between HLA and clinical course of subacute thyroiditis—A report of the three siblings. Genes 11:1282. https://doi.org/10.3390/genes11111282.

Tachibana T, Orita Y, Ogawara Y, Matsuyama Y, Abe I, Nakada M, Sato Y, Nishizaki K (2014) Time-lag between symptom onset and laboratory findings in patients with subacute thyroiditis. Auris Nasus Larynx 41:369–372. https://doi.org/10.1016/j.anl.2013.11.003

Cappelli C, Pirola I, Gandossi E, Formenti A, Agosti B, Castellano M (2014) Ultrasound findings of subacute thyroiditis: a single institution retrospective review. Acta Radiol 55:429–433. https://doi.org/10.1177/0284185113498721

Slatosky J, Shipton B, Wahba H (2000) Thyroiditis: Differential diagnosis and management. AFP 61:1047–1052 https://www.aafp.org/afp/2000/0215/p1047.html

Szczepanek-Parulska E, Zybek A, Biczysko M, Majewski P, Ruchała M (2012) What might cause pain in the thyroid gland? Report of a patient with subacute thyroiditis of atypical presentation. Endokrynol Pol 63:138–142. PMID: 22538753

Yang Z, Zhang H, Wang K, Cui G, Fu F (2015) Assessment of diffuse thyroid disease by strain ratio in ultrasound elastography. Ultrasound Med Biol 41:2884–2889. https://doi.org/10.1016/j.ultrasmedbio.2015.07.012

Freesmeyer M, Opfermann T (2015) Diagnosis of de Quervain’s subacute thyroiditis via sensor-navigated 124Iodine PET/ultrasound (124I-PET/US) fusion. Endocrine 49:293–295. https://doi.org/10.1007/s12020-014-0366-z

Yeo SH, Lee SK, Hwang I, Ahn EJ (2011) Subacute thyroiditis presenting as a focal lesion on [18F] fluorodeoxyglucose whole-body positron-emission tomography/CT. American Journal of Neuroradiology 32:E58–E60. https://doi.org/10.3174/ajnr.A2017

Vural Ç, Paksoy N, Gök ND, Yazal K (2015) Subacute granulomatous (De Quervain’s) thyroiditis: Fine-needle aspiration cytology and ultrasonographic characteristics of 21 cases. Cytojournal 12:9. https://doi.org/10.4103/1742-6413.157479

Petersdorf RG, Beeson PB (1961) Fever of unexplained origin: report on 100 cases. Medicine (Baltimore) 40:1–30. https://doi.org/10.1097/00005792-196102000-00001

Brown I, Finnigan NA (2020) Fever of Unknown Origin (FUO). StatPearls http://www.ncbi.nlm.nih.gov/books/NBK532265/

Koutouridou E, Planck T, Uddman E, Lantz M (2018) Atypical subacute thyroiditis in combination with Grave’s disease: Diagnostic difficulties in a case report. Lakartidningen 115: PMID: 29664539

Fa B, N W, S H, Ma B (2017) Lesson of the month 1: Subacute thyroiditis: a rare cause of fever of unknown origin. Clin Med (Lond) 17:86–87. https://doi.org/10.7861/clinmedicine.17-1-86

Dalugama C (2018) Asymptomatic thyroiditis presenting as pyrexia of unknown origin: a case report. J Med Case Rep. https://doi.org/10.1186/s13256-018-1590-6

Mechanic OJ, Grossman SA (2020) Acute Myocardial Infarction. StatPearls http://www.ncbi.nlm.nih.gov/books/NBK459269/

Guerrero E, Loaiz Ortiz D, Manzano D, Tello Montoliu A (2015) Acute myocardial infarction with ST-segment elevation as an early sign of relapse in subacute (De Quervaine) thyroiditis. Emergencias 27:345–346. PMID: 29087065

Narita K, Ureshino H, Hashimoto S (2018) Sustained ventricular tachycardia caused by subacute thyroiditis. Intern Med J 48:1160–1162. https://doi.org/10.1111/imj.14018

Chong JY, Rowland LP (2006) What’s in a NAIM? Hashimoto encephalopathy, steroid-responsive encephalopathy associated with autoimmune thyroiditis, or nonvasculitic autoimmune meningoencephalitis? Arch Neurol 63:175. https://doi.org/10.1001/archneur.63.2.175

Chung YJ, Park K-Y, Ahn J, Ha S-Y, Youn YC (2008) Steroid-Responsive recurrent encephalopathy associated with subacute thyroiditis. J Clin Neurol 4:167. https://doi.org/10.3988/jcn.2008.4.4.167

Arciniegas DB (2015) Psychosis. Continuum (Minneap Minn) 21:715–736. https://doi.org/10.1212/01.CON.0000466662.89908.e7

Subacute thyroiditis presenting as acute psychosis: a case report and literature review. Korean J Intern Med. https://doi.org/10.3904/kjim.2013.28.2.242

Dai L, Lin S, Liu D, Wang Q (2020) Acute suppurative thyroiditis with thyroid metastasis from oesophageal cancer. Endokrynologia Polska 71:106–107. https://doi.org/10.5603/EP.a2019.0053

Rotondi M, Capelli V, Locantore P, Pontecorvi A, Chiovato L (2017) Painful Hashimoto’s thyroiditis: myth or reality? J Endocrinol Invest 40:815–818. https://doi.org/10.1007/s40618-017-0655-5

Sato J, Uchida T, Komiya K, Goto H, Takeno K, Suzuki R, Honda A, Himuro M, Watada H (2017) Comparison of the therapeutic effects of prednisolone and nonsteroidal anti-inflammatory drugs in patients with subacute thyroiditis. Endocrine 55:209–214. https://doi.org/10.1007/s12020-016-1122-3

Ma S-G, Bai F, Cheng L (2014) A novel treatment for subacute thyroiditis: administration of a mixture of lidocaine and dexamethasone using an insulin pen. Mayo Clinic Proceedings 89:861–862. https://doi.org/10.1016/j.mayocp.2014.03.013

Mazza E, Quaglino F, Suriani A, Palestini N, Gottero C, Leli R, Taraglio S (2015) Thyroidectomy for painful thyroiditis resistant to steroid treatment: Three new cases with review of the literature. Case Reports in Endocrinology 2015:e138327. https://doi.org/https://doi.org/10.1155/2015/138327

Ranganath R, Shaha MA, Xu B, Migliacci J, Ghossein R, Shaha AR (2016) de Quervain’s thyroiditis: A review of experience with surgery. Am J Otolaryngol 37:534–537. https://doi.org/10.1016/j.amjoto.2016.08.006

Stasiak M, Tymoniuk B, Stasiak B, Lewiński A (2019) The risk of recurrence of subacute thyroiditis is HLA-Dependent. Int J Mol Sci. https://doi.org/10.3390/ijms20051089

Downloads

Published

2020-12-29

Issue

Section

Review Papers

How to Cite

1.
Domin R, Szczepanek-Parulska E, Dadej D, Ruchała M. Subacute Thyroiditis – literature overview and COVID-19. JMS [Internet]. 2020 Dec. 29 [cited 2024 Dec. 21];89(4):e472. Available from: https://jmsnew.ump.edu.pl/index.php/JMS/article/view/472