A 34 year old woman develops anterior neck pain radiating to the jaw several weeks after an upper respiratory infection. She has palpitations and mild fever. The thyroid gland is exquisitely tender. Laboratory studies show decreased TSH and increased free T4. Which of the following is the most likely diagnosis?
- A)Hashimoto thyroiditis
- B)Toxic thyroid adenoma
- C)Toxic multinodular goiter
- D)Riedel thyroiditis
- E)Subacute granulomatous thyroiditisGABARITO
Explicação
Subacute granulomatous thyroiditis, also called de Quervain thyroiditis, often follows a viral illness and causes a painful tender thyroid. Follicular destruction releases preformed hormone, producing a transient hyperthyroid phase with low TSH and elevated fr... Ver explicação completa e trilha adaptativa →