A previously healthy 32-year-old woman from ? - zarah

[ArchivalUser]

Looks like c--agree with oblongata,iodine induced thyrotoxicosis due to over supplemenatation

[ArchivalUser]

Can anyone pls tell me if Infectious Thyroiditis = Subacute Granulomatous Thyroiditis??
thx

[ArchivalUser]

I think its quite unlikley that its Iodine oversupp occuring in so many people, Iodine is quite well controlled in Salt unless people are gobbling that down. Its gotta be Infectious

[ArchivalUser]

Patients in North America may be exposed to excess iodine through dietary supplements, drugs such as amiodarone (Cordarone), cough and cold remedies, or foods such as kelp and various preparations containing seaweed extracts.


I found this on web .So, it is possible that people in certain areas are taking some type of foods rich in Iodine.

[ArchivalUser]

hi ben, found this on the web.T his will help clear some confusion,i hope.

Subacute viral thyroiditis Subacute thyroiditis is also known as DeQuervain™s thyroiditis or granulomatous thyroiditis. The condition was first described in 1904. Symptom of hyperthyroidism in thyroiditis are similar to those seen in other hyperthyroid disorders with few exceptions. Patients with subacute or de Querrvain™s thyroiditis have a small tender, often painful goiter and flu-like symptoms, including fever, night sweats and malaise. The Coxsackie and enteroviruses are often implicated. Hyperthyroidism is caused by the release of stored thyroid hormone from the inflamed gland. The thyrotoxic phase usually lasts 4 to 6 weeks and is followed by a similar period of hypothyroidism. Full recovery of thyroid function usually takes 4 to 6 months.

Acute bacterial or fungal thyroiditis Acute bacterial thyroiditis, which is also known as acute suppurative thyroiditis, infectious thyroiditis, or pyogenic thyroiditis, is a rare condition that can occur after respiratory infections, thyroid surgery or sinus surgery. Patients with infectious thyroiditis may be euthyroid with normal thyroid function tests or they may have hyperthyroidism or hypothyroidism.

[ArchivalUser]

U Guys are going to get a "Wide Stare" if you read this explanation

The Ans is A)!!!!


called " hamburger hyperthyroidism" Due to removal of thyroid gland along with neck muscles of cattle and its subsequent use to make burgers-->people ingested thyroid hormone containing ground beef.
i thought it was bec of over supplementation of iodine

[ArchivalUser]

The correct answer is A.

This patient and her son are clearly suffering from thyrotoxicosis, as evidenced by the findings on physical examination and blood tests. Their symptoms are the result of ingestion of thyroid hormone-containing ground beef. Two community outbreaks of thyrotoxicosis have been reported to result from the accidental ingestion of thyroid tissue from cattle. The tissue was removed along with neck muscle and ground up to prepare hamburger. These outbreaks were labeled "hamburger hyperthyroidism". Affected patients consumed large amounts of thyroid-hormone-containing ground beef and subsequently became hyperthyroid until their pantry stocks were depleted. Several weeks thereafter, they became hypothyroid because of the slow recovery time of the suppressed thyroid.

Infectious thyroiditis (choice B) would seem possible on the basis of this community "outbreak" and a similar syndrome among family members. However, no virus or bacterium has yet been described which infects only the thyroid gland in multiple different patients. Subacute (De Quervain’s) thyroiditis presents in a manner similar to the case above, except that it usually follows an upper respiratory illness. Viral infection and destruction of thyroid follicles result in the release of pre-formed thyroid hormone into the blood, causing thyrotoxicosis. Once the infection has resolved, hypothyroidism ensues for a brief period while the gland recovers.

Over-supplementation with dietary iodine (choice C) is possible iatrogenically following the administration of iodinated contrast media and amiodarone, an iodine-containing medication. However, iodine overdose leads to hypothyroidism, not thyrotoxicosis as in this case. Large amounts of iodine suppress the release of thyroxine from the thyroid gland, but the effect is transient.

Panic attacks (choice D) are a diagnosis of exclusion once other organic causes of palpitations and anxiety have been ruled out. In this patient's case, she is clearly hyperthyroid on physical exam, and a suppressed TSH confirms the diagnosis.

Choice E is incorrect since there is no evidence of self-administration of thyroid hormone and it is unclear why the patient would give the hormone to her son. In the entity Munchausen syndrome by proxy, caregivers create illness in their wards in order to attract attention and sympathy. In this case, the patient does not come to you seeking attention through her son's illness, and there is no prior history of similar behavior. Further, it does not explain how a community outbreak of similar illness could occur.