Subacute Thyroiditis: Clinical Presentation and Long Term Outcome
Few studies have been reported from the Kingdom of Saudi Arabia (SA) to describe the clinical presentation and long term outcomes of subacute thyroiditis (SAT). Our aim was to review the demographic, anthropometric, clinical presentation, laboratory results, treatment, and disease outcome in Riyadh...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2014/794943 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832548714238967808 |
|---|---|
| author | Assim A. Alfadda Reem M. Sallam Ghadi E. Elawad Hisham AlDhukair Mossaed M. Alyahya |
| author_facet | Assim A. Alfadda Reem M. Sallam Ghadi E. Elawad Hisham AlDhukair Mossaed M. Alyahya |
| author_sort | Assim A. Alfadda |
| collection | DOAJ |
| description | Few studies have been reported from the Kingdom of Saudi Arabia (SA) to describe the clinical presentation and long term outcomes of subacute thyroiditis (SAT). Our aim was to review the demographic, anthropometric, clinical presentation, laboratory results, treatment, and disease outcome in Riyadh region and to compare those with results from different regions of the Kingdom and different parts of the world. We reviewed the medical files of patients who underwent thyroid uptake scan during an 8-year period in King Khalid University Hospital. Only 25 patients had confirmed diagnosis of thyroiditis. Age and gender distribution were similar to other studies. Most patients presented with palpitation, goiter, and weight change. Elevated thyroid hormones, suppressed thyroid-stimulating hormone, and elevated ESR were reported. Among those, 7 cases of SAT were recorded. β-Blockers were prescribed to 57% and nonsteroidal anti-inflammatory drugs to 29% of SAT. Long follow-up demonstrated that 85.7% of SAT cases recovered, while 14.3% developed permanent hypothyroidism. In conclusion, SAT is uncommon in the central region of SA. Compared to the western region, corticosteroid is not commonly prescribed, and permanent hypothyroidism is not uncommon. A nation-wide epidemiological study to explain these interprovincial differences is warranted. |
| format | Article |
| id | doaj-art-eea7119f6cc64e7daf1f98983ba5bb0c |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-eea7119f6cc64e7daf1f98983ba5bb0c2025-02-03T06:13:22ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/794943794943Subacute Thyroiditis: Clinical Presentation and Long Term OutcomeAssim A. Alfadda0Reem M. Sallam1Ghadi E. Elawad2Hisham AlDhukair3Mossaed M. Alyahya4Department of Medicine, College of Medicine, King Saud University, P.O. Box 2925 (38), Riyadh 11461, Saudi ArabiaClinical Chemistry Unit, Department of Pathology, College of Medicine, King Saud University, P.O. Box 2925 (30), Riyadh 11461, Saudi ArabiaDepartment of Medicine, College of Medicine, King Saud University, P.O. Box 2925 (38), Riyadh 11461, Saudi ArabiaNational Neuroscience Institute, King Fahad Medical City, Riyadh 11525, Saudi ArabiaNeurology Department, King Faisal Specialist Hospital & Research Center, Riyadh 11211, Saudi ArabiaFew studies have been reported from the Kingdom of Saudi Arabia (SA) to describe the clinical presentation and long term outcomes of subacute thyroiditis (SAT). Our aim was to review the demographic, anthropometric, clinical presentation, laboratory results, treatment, and disease outcome in Riyadh region and to compare those with results from different regions of the Kingdom and different parts of the world. We reviewed the medical files of patients who underwent thyroid uptake scan during an 8-year period in King Khalid University Hospital. Only 25 patients had confirmed diagnosis of thyroiditis. Age and gender distribution were similar to other studies. Most patients presented with palpitation, goiter, and weight change. Elevated thyroid hormones, suppressed thyroid-stimulating hormone, and elevated ESR were reported. Among those, 7 cases of SAT were recorded. β-Blockers were prescribed to 57% and nonsteroidal anti-inflammatory drugs to 29% of SAT. Long follow-up demonstrated that 85.7% of SAT cases recovered, while 14.3% developed permanent hypothyroidism. In conclusion, SAT is uncommon in the central region of SA. Compared to the western region, corticosteroid is not commonly prescribed, and permanent hypothyroidism is not uncommon. A nation-wide epidemiological study to explain these interprovincial differences is warranted.http://dx.doi.org/10.1155/2014/794943 |
| spellingShingle | Assim A. Alfadda Reem M. Sallam Ghadi E. Elawad Hisham AlDhukair Mossaed M. Alyahya Subacute Thyroiditis: Clinical Presentation and Long Term Outcome International Journal of Endocrinology |
| title | Subacute Thyroiditis: Clinical Presentation and Long Term Outcome |
| title_full | Subacute Thyroiditis: Clinical Presentation and Long Term Outcome |
| title_fullStr | Subacute Thyroiditis: Clinical Presentation and Long Term Outcome |
| title_full_unstemmed | Subacute Thyroiditis: Clinical Presentation and Long Term Outcome |
| title_short | Subacute Thyroiditis: Clinical Presentation and Long Term Outcome |
| title_sort | subacute thyroiditis clinical presentation and long term outcome |
| url | http://dx.doi.org/10.1155/2014/794943 |
| work_keys_str_mv | AT assimaalfadda subacutethyroiditisclinicalpresentationandlongtermoutcome AT reemmsallam subacutethyroiditisclinicalpresentationandlongtermoutcome AT ghadieelawad subacutethyroiditisclinicalpresentationandlongtermoutcome AT hishamaldhukair subacutethyroiditisclinicalpresentationandlongtermoutcome AT mossaedmalyahya subacutethyroiditisclinicalpresentationandlongtermoutcome |