Subacute thyroiditis symptoms

Subacute thyroiditis is a common glandular inflammation disease among modern people. The onset of subacute thyroiditis can cause pain, general weakness, constipation and other problems. In severe cases, there may even be a high fever. If not treated in time, there may also be pain all over the body. It can be said that subacute thyroiditis is also a very harmful disease.

So what are the factors that cause subacute thyroiditis, and what are the symptoms of subacute thyroiditis? What impact will subacute thyroiditis have on human health? What should you do if you have subacute thyroiditis?

Subacute thyroiditis, also known as giant cell thyroiditis, granulomatous thyroiditis, pseudonodular thyroiditis, De Quervain thyroiditis, etc., was first described by De Quervain in 1904. The typical symptoms of subacute thyroiditis are characterized by thyroid enlargement and pain. In severe cases, it can cause systemic symptoms such as fever, headache, general fatigue, dry stool, dry mouth, and irritability. Acute attacks of subacute thyroiditis may cause high fever and body aches.

Causes

It is generally believed that it may be related to viral infection:

① Most patients have upper respiratory tract infection before the onset of the disease;

②When mumps is prevalent, it can also cause epidemic thyroiditis;

③ Patients often have high titers of viral antibodies in their serum, the most common of which are Coxsackie virus antibodies, followed by adenovirus antibodies, influenza virus antibodies, and mumps virus antibodies;

④Mumps virus has been directly cultured in affected thyroid tissue.

pathology

The thyroid gland is usually diffuse and can be 1 to 3 times larger than normal, or nodular. Transparent colloid can be seen on the cross-section with scattered gray lesions. Under the light microscope, a large number of giant cells and granulation tissue can be seen, accompanied by fibrosis and chronic inflammatory cell infiltration, and the lesions are similar to tuberculous nodules.

Clinical manifestations

Most patients have an acute onset of illness, and the main systemic symptoms include fever, night sweats, fatigue, loss of appetite, and mild symptoms of hyperthyroidism may appear in the early stage of the disease: palpitations, heat intolerance, sweating, tremors, and nervous tension. Pain in the thyroid area may be severe or dull, and may radiate along the neck to the submandibular area, the base of the ear, and behind the occipital bone, and may also radiate to the chest and shoulders. A small number of patients may experience headache, tinnitus, nausea and vomiting. Female patients may experience abnormal menstruation and scanty menstruation. Symptoms of hypothyroidism occasionally occur during recovery from the illness.

Most goiters are bilateral, but a few are unilateral. The thyroid area is tender, with a smooth surface and a tough texture. It can move with phagocytosis and has no obvious adhesion or fixation to the surrounding tissues. The compression depends on the enlargement of the thyroid gland and is generally not obvious.

The course of this disease varies in length, from several weeks to several months, and may even recur and last for 1 to 2 years.

Subacute thyroiditis

1: Subacute thyroiditis, also known as acute non-suppurative thyroiditis, viral thyroiditis, giant cell thyroiditis, etc., is a relatively common type of thyroiditis. The cause of the disease is unknown, but it is related to viral infection or viral allergy. The course of the disease is 1-2 weeks or several months, with a high recurrence rate. The entire gland can be affected.

There is a clear phenomenon of inhibition of iodine metabolism. The age of onset is generally between 20 and 60 years old, with a higher incidence rate in middle-aged people, more women than men. Most patients have an acute onset, and may have upper respiratory tract symptoms such as fever, chills, and sore throat in the early stage, accompanied by fatigue, loss of appetite, spontaneous sweating, night sweats, swelling of the thyroid gland, and pain radiating to the forehead, behind the ears, and neck. The pain worsens when swallowing or hitting bricks, and the gland is tender and hard. Mild hyperthyroidism symptoms may appear in the early stage of the disease, such as hand tremors, palpitations, sweating, and mental tension. A small number of patients may experience headaches, tinnitus, hearing loss, nausea, and vomiting. Most female patients have abnormal menstruation and scanty menstruation. During the recovery period of the disease, there are symptoms of hypothyroidism, such as low voice, fear of cold and edema.

2: Traditional Chinese medicine believes that this disease is caused by exogenous wind-heat, epidemic toxic evil, and internal injury of the seven emotions. Because wind-heat and epidemic toxic evil invade the lung defense, the defense surface is out of harmony and symptoms such as aversion to cold, fever, sweating, dry and painful throat, body aches, fatigue, etc. Wind-heat is accompanied by phlegm and toxic accumulation. If applied to the front of the neck, goiter and pain will occur. The accumulation over a long period of time can easily lead to blockage of qi and blood, resulting in the mutual accumulation of phlegm, blood stasis and toxic evil, qi stagnation turning into fire, liver fire ascending, disturbing the mind and causing palpitations and irritability. Hyperactivity of liver yang and wind movement can cause trembling of hands, irritability, etc. The liver fails to release and Chong and Ren are out of balance, so women may experience irregular menstruation and scanty menstruation. If the disease recurs and does not heal, the patient may develop symptoms of yin excess and yang deficiency over a long period of time, such as fear of cold, fatigue, laziness, laziness to speak, and weakness.

The above are the symptoms of subacute thyroiditis. Finally, I would like to remind you that the harm of subacute thyroiditis is very serious. If you also have these health problems in your body, it is best to go to the hospital to check whether you have these diseases, so as to better promote your health.