Transient painless thyroiditis with hyperthyroidism: a variant of lymphocytic thyroiditis?
Transient painless thyroiditis with hyperthyroidism: a variant of lymphocytic thyroiditis?
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短暂性无痛性甲状腺炎伴甲状腺功能亢进：淋巴细胞性甲状腺炎的一种变体？
作者：
P. Woolf
在过去的十年中，特别是在过去的五年中，一种不寻常的甲状腺功能亢进引起了越来越多的关注（1-22）。甲状腺功能亢进的表现通常是自限性的，尽管有些病例会复发，并伴有甲状腺实质内的慢性炎症改变，并以极低的碘摄取为特征。尽管通常症状突然发作和弥漫性淋巴细胞浸润，甲状腺疼痛和/或压痛完全不存在。由于该综合征与淋巴细胞性甲状腺炎和亚急性甲状腺炎的许多特征重叠，因此关于如何对其进行分类或是否将其视为一种新的疾病实体一直存在很多争论。描述它的几个组使用的命名法包括：无痛性甲状腺炎（7,11,17,20），无声性甲状腺炎（3,9,19,22），隐匿性亚急性甲状腺炎(1)，无痛性亚急性甲状腺炎（10,14），亚急性非化脓性甲状腺炎(2)，非典型（“无声”）亚急性甲状腺炎（16），淋巴细胞病…
WITHIN the past decade and particularly within the past 5 years, an unusual form of hyperthyroidism has received increasing attention (1–22). The hyperthyroid manifestations are generally self limiting, although some cases relapse, are accompanied by chronic inflammatory changes within the thyroid parenchyma, and are marked by a very low 131I uptake. Despite the usually abrupt onset of symptoms and the diffuse lymphocytic infiltration, thyroidal pain and/or tenderness is completely absent. Because this syndrome overlaps many of the features of both lymphocytic thyroiditis and subacute thyroiditis, there has been much debate about how to categorize it or whether to consider it a new disease entity. Nomenclature used by the several groups describing it includes: painless thyroiditis (7, 11, 17, 20), silent thyroiditis (3, 9, 19, 22), occult subacute thyroiditis (1), painless subacute thyroiditis (10, 14), subacute nonsuppurative thyroiditis (2), atypical (“silent”) subacute thyroiditis (16), lymphocytic thy...