A 37-year-old woman develops anterior neck pain radiating to the jaw 2 weeks after an upper respiratory infection. She has palpitations and tremor. Examination shows a tender enlarged thyroid. Laboratory studies show suppressed TSH and elevated free T4. Radioactive iodine uptake is low. Which of the following is the most likely diagnosis?
- A)Medullary thyroid carcinoma
- B)Subacute granulomatous thyroiditisGABARITO
- C)Toxic multinodular goiter
- D)Hashimoto thyroiditis
- E)Graves disease
Explicação
Subacute granulomatous thyroiditis often follows a viral illness and presents with painful thyroid enlargement and transient hyperthyroidism. Radioactive iodine uptake is low because the gland releases preformed hormone. Ver explicação completa e trilha adaptativa →