Thyroïdite subaiguë de De Quervain

Translated title of the contribution: De Quervain subacute thyroiditis

George Mundy-Baird, Angelos Kyriacou, Akheel A Syed

Research output: Contribution to journalArticlepeer-review


A 41-year-old woman presented to hospital with anterior neck swelling and pain, made worse with swallowing, after a week of febrile upper respiratory illness. She had an exquisitely tender goitre and fine hand tremor. Her temperature was 37.1°C, with a resting heart rate of 92–122 beats/minute and blood pressure of 116/68 mm Hg. Her thyroid-stimulating hormone was undetectable at < 0.01 (normal range 0.35–5.50) mU/L, with elevated free thyroxine (59.0 pmol/L; normal range 10.0–20.0), and free triiodothyronine (27.4 pmol/L; normal range 3.5–6.5). Her C-reactive protein and erythrocyte sedimentation rate were also elevated (Appendix 1, available at The emergency physicians excluded suppurative thyroiditis and thyroid abscess by computed tomography (CT), which showed thyroid enlargement (Figure 1). An endocrinologist diagnosed subacute thyroiditis and prescribed a short course of oral prednisolone, ibuprofen and propranolol; the patient’s pain and goitre size reduced within 24 hours. After discharge from hospital, her symptoms resolved without further intervention, followed by a period of asymptomatic hypothyroxinaemia, eventually returning to euthyroidism (Appendix 1).
Translated title of the contributionDe Quervain subacute thyroiditis
Original languageFrench
Pages (from-to)E1549-E1550
Number of pages2
JournalCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
Issue number39
Publication statusPublished - 4 Oct 2021


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