Thyroiditis is a thyroid disease with inflammation as the main manifestation, and the clinical symptoms are diverse, and different types of thyroiditis can also be converted into each other. The onset of thyroiditis is closely related to infection, and the spring of temperature changes is the high incidence season of subacute thyroiditis. This disease, the initial appearance of the disease is similar to the cold, easy to cause misdiagnosis. Let's explain the relevant identification and prevention points for you now.
Thyroiditis is a common disease and is more common in women. The general feature of this disease is that the symptoms are diverse, for example, the same type of thyroiditis, at different stages of the disease, will have different manifestations, sometimes manifested as hyperthyroidism, sometimes manifested as hypothyroidism, or thyroid nodules, and, between different types of thyroiditis, can also be converted to each other. In addition, thyroiditis, often associated with infection, causes patients to focus on the infection and ignore changes in thyroid function, resulting in delays in the condition.
Thyroiditis, depending on the cause and change of the disease, can be divided into different types. Acute purulent thyroiditis, mainly caused by bacterial or fungal infections, of which staphylococcal or streptococcal infections are a common cause of the disease. Infection is usually confined to thyroid nodules or cysts, forming abscesses, the main symptoms of which are swollen thyroid gland and elevated body temperature, tender neck pain, pain that can spread to the ears or occipital region, shortness of breath and hoarseness, and hypothyroidism. Responses are mainly early local cold compresses, late hot compresses, antibiotics under the guidance of a doctor, and if an abscess is formed, surgical incision and drainage is required.
Subacute thyroiditis, first discovered in 1904, this disease also has many names, such as granulomatous thyroiditis, giant cell thyroiditis, migratory thyroiditis, etc., radioactive or metastatic pain, is a feature of the disease, in young or middle-aged women are more common, belongs to the self-limiting inflammatory disease, in the spring high incidence. At present, it is believed that the etiology of subacute thyroiditis is viral infection or allergic reaction after infection, causing thyroid tissue damage, the main causative factors are influenza virus, mumps virus, in addition, genetic factors, such as leukocyte antigen B35, are also considered to be related to the occurrence of the disease.
Subacute thyroiditis, the onset is more urgent, the initial stage of infection will appear sore throat, fatigue, surrounding discomfort and other symptoms of similar upper respiratory tract infections, followed by thyroid enlargement and local pain, pain can radiate to the ears, jaw, behind the ears, occipital, eating or drinking, the pain is significantly aggravated, or there is dysphagia and hoarseness, at the same time, there will be hyperthyroidism such as heat, sweating, palpitation and other symptoms of hyperthyroidism, disease manifestations can last for several weeks to months. Therefore, if you feel cold and neck swelling and pain occur, you need to pay enough attention.
Patients with subacute thyroiditis, if there is no relevant common sense, it is easy to confuse the swelling pain of the neck with lymphadenopathy, mistakenly think that they are caused by inflammation of the lymph nodes after a cold, and when distinguishing, you need to pay attention to details, for example, the neck pain caused by subacute thyroiditis will start from one side of the neck and then spread to the other side, and at the same time, radiate to the surrounding area. In addition, the disease initially shows hyperthyroidism and later on. Moreover, when the lesion on one side is about to recover, the lesion on the other side will appear again, and the disease will be undulating and long. The diagnosis of subacute thyroiditis requires blood tests, specifically increased erythrocyte sedimentation rate, normal white blood cell count, elevated serum protein-bound iodine or TT concentrations, and significantly reduced radioactive iodine uptake.
Subacute thyroiditis, a self-limiting inflammatory disease, if the systemic symptoms worsen, with significant goiter, hormone therapy can be tried, at the same time, need to pay close attention to changes in thyroid function, if accompanied by symptoms of hyperthyroidism, you can use related drugs, however, more care should be taken to avoid hypothyroidism. Care should also be taken to distinguish it from other thyroiditis, such as Hashimoto's disease and chronic fibroxinitis. To prevent subacute thyroiditis, the main measures are to pay attention to the warmth during the change of seasons, prevent infection, and at the same time, it is necessary to strengthen exercise, pay attention to a balanced diet, and improve autoimmunity.
Whoever loves, pass on health to whom.