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Introduction
  • Self-limiting hypothyroidism following a viral infection (URI) 
    • early on may be hyperthyroid (similar to Hashimoto's)
    • later, symptomatology is hypothyroid (though this is not permanent)
Presentation
  • Physical exam
    • jaw pain
    • very tender thyroid gland
      • post-partum lymphocytic subacute thyroiditis is painless
    • no cervical adenopathy
Evaluation
  • Labs
    • ↑ ESR
  • Histology
    • granulomatous inflammation 
  • 123I uptake
    • decreased
Treatment
  • Manage symptoms (pain) with NSAIDS and aspirin
  • Does not require treatment
Prognosis, Prevention, and Complications
  • Rare to progress to permanent hypothyroidism
 

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