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HOME > Endocrinol Metab > Volume 23(6); 2008 > Article
Case Report A Case of Painful Hashimoto's Thyroiditis Successfully Treated with Total Thyroidectomy.
Hee Kyung Kim, Hong Joon Shin, Ho Cheol Kang
Endocrinology and Metabolism 2008;23(6):438-443
DOI: https://doi.org/10.3803/jkes.2008.23.6.438
Published online: December 1, 2008
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Department of Internal Medicine, Chonnam University Hwasun Hospital, Korea.
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Abstract

Painful Hashimoto's thyroiditis (HT) is a subtype of HT characterized by thyroid pain with overt elevation in inflammatory markers and thyroid autoantibodies. The differential diagnosis of painful HT with subacute granulomatous thyroiditis is often difficult because initial clinical findings are very similar. Findings that favor the diagnosis of painful HT include preceding history of chronic goiter or autoimmune thyroid diseases, a high titer of thyroid autoantibodies, and repeated painful attacks even with chronic glucocorticoid therapy. Surgery is often needed to relieve the thyroid pain.

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