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Tyreoiditt, subakutt granulomatøs

Sist revidert:
Sist revidert av:


Definisjon:
Subakutt granulomatøs tyreoiditt er en selvbegrensende inflammasjon i tyreoideakjertelen som sannsynligvis er viralt betinget
Forekomst:
Ca. 5 tilfeller per 100.000. Hyppigere blant kvinner, 3,5:1
Symptomer:
Trefasisk klinisk forløp som varer fra uker til mange måneder: Forbigående tyreotoksikose, hypotyreose og normalisering hos over 90%.
Funn:
I første fase ofte influensalignende symptomer med forstørret og øm eller smertefull tyreoidea. 
Diagnostikk:
Aktuelle undersøkelser er CRP, SR, FT4, TSH
Behandling:
Behandling er symptomatisk, ev. NSAID, kortikosteroid, betablokker, tyroksin
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  • Terje Johannessen, professor i allmennmedisin, Trondheim