A 45-year-old woman presents with acute onset neck pain, fever, and mild hyperthyroid symptoms. Examination reveals a tender thyroid gland. TSH is 0.1 mIU/L, free T4 is elevated at 26 pg/dL, but radioiodine uptake is markedly suppressed. ESR is 65 mm/hr and CRP is 12 mg/dL. Which of the following is the most likely diagnosis?
- A)Subacute granulomatous thyroiditisGABARITO
- B)Graves disease with concurrent infection
- C)Acute bacterial thyroiditis
- D)Toxic nodular goiter
- E)Painless (postpartum) thyroiditis
Explicação
Subacute (viral) thyroiditis presents with thyroid pain, fever, elevated inflammatory markers (ESR/CRP), and transient thyrotoxicosis. The hallmark finding is suppressed radioiodine uptake due to inflammation and release of preformed thyroid hormone rather tha... Ver explicação completa e trilha adaptativa →