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KMID : 0356620130280010050
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Journal of Korean Society of Endocrinology
2013 Volume.28 No. 1 p.50 ~ p.54
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A Case of Acute Suppurative Thyroiditis with Thyrotoxicosis in an Elderly Patient
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Kim Bo-Sang
Nam Kil-woo
Kim Jeong-Eun
Park Ji-Hoon
Yoon Jun-Sik
Park Jung-Hwan
Hong Sang-Mo
Lee Chang-Bum
Park Yong-Soo
Choi Woong-Hwan
Ahn You-Hern
Kim Dong-Sun
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Abstract
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Acute suppurative thyroiditis (AST) is a rare condition, as the thyroid gland is relatively resistant to infection. Thyroid function tests are usually normal in AST. A few cases of AST associated with thyrotoxicosis have been reported in adults. We report a case of AST that was associated with thyrotoxicosis in a 70-year-old woman. We diagnosed AST with thyroid ultrasonography and fine needle aspiration of pus. The patient improved after surgical intervention and had no anatomical abnormality. Fine needle aspiration is the best method for the difficult task of differentiating malignancy and subacute thyroiditis from AST with thyrotoxicosis. Earlier diagnosis and proper treatment for AST might improve the outcome.
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KEYWORD
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Thyroiditis, suppurative, Biopsy, fine-needle, Thyrotoxicosis
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