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Acute Nonsuppurative Thyroiditis: A Report of Twelve Cases and a Review of the Literature

Acute Nonsuppurative Thyroiditis: A Report of Twelve Cases and a Review of the Literature Abstract During the last five years there has been an increased interest in acute nonsuppurative thyroiditis and, concomitantly, an increased number of accurately diagnosed cases. Whether this can be accounted for by more astute observation and the availability of better diagnostic methods or whether this represents an actual increase in the occurrence of this disease is difficult to evaluate. Owing to the possibility of an infectious etiology of acute nonsuppurative thyroiditis, the occurrence of four cases in patients living within the area serviced by a 700-bed hospital within a period of 45 days lead me to review the documented cases of this disease seen in the hospital during the last five years. The findings of this study and a review of the literature form the basis of this article. Material and Results From June, 1952, to June, 1957, twelve adequately documented cases of acute nonsuppurative thyroiditis were treated as inpatients at References 1. Barr, D. P.: Thyroiditis and Myxedema (Wesley M. Carpenter Lecture) , Bull. New York Acad. Med. 29:551-569, 1953. 2. Benjamin, Z. H.: Subacute Thyroiditis: Report of 2 Cases , Am. J. Med. 18:677-678, 1955.Crossref 3. Bishopric, G. A.; Garret, N. H., and Nicholson, W. M.: Clinical Value of the TSH Test in the Diagnosis of Thyroid Diseases , Am. J. Med. 18:15-19, 1955.Crossref 4. Campbell, C. S.: Acute Non-Suppurative Thyroiditis , Northwest Med. 51:39, 1952. 5. Candel, S.: Acute Nonspecific Thyroiditis Following Measles: Report of a Case , U. S. Nav. M. Bull. 46:1109-1113, 1946. 6. Cantwell, R. C.: Thiouracil in Acute Thyroiditis , Ann. Int. Med. 29:730-732, 1948.Crossref 7. Clark, D. E.; Nelson, T. S., and Raiman, R. J.: Subacute Nonsuppurative Thyroiditis Treated with Cortisone , J. A. M. A. 151:551-552, 1953. 8. Crile, G., Jr.: Treatment of Thyroiditis , Arch. Surg. 57:443-449, 1948.Crossref 9. Crile, G., Jr.: Thyroiditis , Ann. Surg. 127: 640-654, 1948.Crossref 10. Crile, G., Jr.: Thyroiditis , Ann. Int. Med. 37:519-524, 1952.Crossref 11. Crile, G., Jr., and Rumsey, E. W.: Subacute Thyroiditis , J. A. M. A. 142:458-462, 1950.Crossref 12. Crile, G., Jr., and Hazard, J. B.: Classification of Thyroiditis, with Special Reference to the Use of Needle Biopsy , J. Clin. Endocrinol. 11: 1123-1127, 1951.Crossref 13. Crile, G., Jr., and Vickery, A. L.: Special Uses of the Silverman Biopsy Needle in Office Practice and at Operation , Am. J. Surg. 83:83-85, 1952.Crossref 14. Cutler, M.: Treatment of Subacute Thyroiditis with Corticotropin , J. A. M. A. 155:650-651, 1954.Crossref 15. de Quervain, F., and Giordanengo, G.: Die akute und subakute nicht-eitrige Thyreoiditis , Mitt. Grenzgeb. Med. u. Chir. 44:538-590, 1936. 16. Duncan, G. G., Editor: Diseases of Metabolism, Detailed Methods of Diagnosis and Treatment , Ed. 3, Philadelphia, W. B. Saunders Company, 1952, p. 980. 17. The Immunology of Thyroid Disease, Editorial , Lancet 1:1075-1076, 1957. 18. Eylan, E.; Zmucky, R., and Sheba, C.: Mumps Virus and Subacute Thyroiditis: Evidence of a Causal Association , Lancet 1:1062-1063, 1957.Crossref 19. Felix-Davis, D.: Autoimmunization in Subacute Thyroiditis , Lancet 1:880-883, 1958.Crossref 20. Fraser, R., and Harrison, R. J.: Subacute Thyroiditis , Lancet 1:382-386, 1952.Crossref 21. Fredrickson, D. S.; Forsham, P. H., and Thorn, G. W.: The Effect of Massive Cortisone Therapy on Measurements of Thyroid Function , J. Clin. Endocrinol. 12:541-553, 1952.Crossref 22. Gelfand, M. L.; Little, A. S., and Hoffman, K. F.: The Treatment of Subacute Nonsuppurative Thyroiditis with Cortisone , Am. J. M. Sc. 229:69-73, 1955.Crossref 23. Giordanengo, G.: Subacute Thyroiditis , Lancet 1:1144, 1938 24. abstracted from Minerva med. 29:353, 1938. 25. Hamilton, H. E.; Kirkendall, W. M., and Barker, S. B.: Radioactive Iodine Uptake of the Thyroid and Plasma Protein Bound Iodine in Subacute Thyroiditis , J. Clin. Invest. 29:819-820, 1950. 26. Hill, S. R., Jr.; Reiss, R. S.; Forsham, P. H., and Thorn, G. W.: The Effect of Adrenocorticotropin and Cortisone on Thyroid Function: Thyroid-Adrenocortical Interrelationships , J. Clin. Endocrinol. 10:1375-1400, 1950.Crossref 27. Hunter, R. C., Jr., and Sheehan, D. J.: Treatment of Subacute Thyroiditis with Cortisone , New England J. Med. 251:174-177, 1954.Crossref 28. Jefferies, W. M.; Levy, R. R.; Palmer, W. G.; Storaasli, J. P., and Kelly, L. W., Jr.: Value of Single Injection of Thyrotropin in Diagnosis of Obscure Hypothyroidism , New England J. Med. 249:876-884, 1953.Crossref 29. Jensen, D. R.: Acute Thyroiditis Complicating Scarlet Fever , Am. J. Surg. 60:301-303, 1946.Crossref 30. Johannessen, S. G.: Methylthiouracil in Subacute Thyroiditis , Nord. med. 48:1237, 1952. 31. Kahn, J.; Spritzler, R. J., and Shector, W. E.: Cortisone Treatment of Subacute Nonsuppurative Thyroiditis: Report of 2 Cases , Ann. Int. Med. 39:1129-1133, 1953.Crossref 32. Keating, F. R., Jr.; Haines, S. F.; Power, M. H., and Williams, M. M. D.: The Radioiodine-Accumulating Function of the Human Thyroid Gland as a Diagnostic Test in Clinical Medicine , J. Clin. Endocrinol. 10:1425-1464, 1950.Crossref 33. King, B. T., and Rosellini, L. J.: Treatment of Acute Thyroiditis with Thiouracil: Preliminary Report , J. A. M. A. 129:267-268, 1945.Crossref 34. Kinsell, L. W.: The Clinical Application of Pituitary Adrenocorticotropic and Adrenal Steroid Hormones , Ann. Int. Med. 35:615-651, 1951.Crossref 35. Krupp, M. A.; Saier, M.; Keddie, F.; Tanner, R., and Snell, A. M.: Experience with Cortisone and ACTH in a Private Clinic , California Med. 75:6-10, 1951. 36. Kuhl, W. J., Jr., and Ziff, M.: Alteration of Thyroid Function by ACTH and Cortisone , J. Clin. Endocrinol. 12:554-559, 1952.Crossref 37. Landmann, H. R.: Acute Thyroiditis Treated with Cortisone , Am. Pract. & Digest. Treat. 5:130-131, 1954. 38. Lasser, R. P., and Grayzel, D. M.: Subacute Thyroiditis, Struma Fibrosa, Struma Lymphomatosa: A Clinical-Pathological Study , Am. J. M. Sc. 217:518-529, 1949. 39. Lasser, R. P.: Subacute Thyroiditis Treated with Cortisone , J. A. M. A. 152:1133-1134, 1953. 40. McConahey, W. M., and Keating, F. R., Jr.: Radioiodine Studies in Thyroiditis , J. Clin. Endocrinol. 11:1116-1122, 1951. 41. Menin, W.; Kravitz, C. H., and Greenspan, B.: Thyroiditis: Acute and Chronic , Pennsylvania M. J. 56:885-889, 1953. 42. Moldover, A.: Subacute Thyroiditis: Report of 3 Cases Treated with Cortisone , A. M. A. Arch. Int. Med. 98:322-327, 1956.Crossref 43. Osmond, J. D., Jr., and Portmann, U. V.: Subacute (Pseudotuberculous, Giant Cell) Thyroiditis and Its Treatment , Am. J. Roentgenol. 61:826-829, 1949. 44. Perry, W. F.: Action of Cortisone and ACTH on Thyroid Function , Endocrinology 49: 284-288, 1951.Crossref 45. Reveno, W. S., and Rosenbaum, H.: Treatment of Acute Thyroiditis with Antithyroid Drugs , New England J. Med. 245:364-366, 1951.Crossref 46. Robbins, J.; Rall, J. E.; Trunnell, J. B., and Rawson, R. W.: The Effect of Thyroid-Stimulating Hormone in Acute Thyroiditis , J. Clin. Endocrinol. 11:1106-1115, 1951.Crossref 47. Roitt, I. M., Doniach, D.; Campbell, P. N., and Hudson, R. V.: Auto-Antibodies in Hashimoto's Disease (Lymphadenoid Goitre) , Lancet 2:820-821, 1956.Crossref 48. Rose, N. R., and Witebsky, E.: Studies on Organ Specificity: V. Changes in Thyroid Glands of Rabbits Following Active Immunization with Rabbit Thyroid Extracts , J. Immunol. 76:417-427, 1956. 49. St. John, J. H., and Nicholson, W. M.: An Evaluation of the Treatment of Thyroiditis , South. M. J. 44:1059-1062, 1945. 50. Schilling, J. A.: Struma Lymphomatosa, Struma Fibrosa and Thyroiditis , Surg. Gynec. & Obst. 81:533-550, 1945. 51. Sein, M.: Acute Nonsuppurative Thyroiditis , Lancet 2:673, 1938. 52. Skillern, P. G.; Nelson, H. E., and Crile, G., Jr.: Some New Observations on Subacute Thyroiditis , J. Clin. Endocrinol. 16:1422-1433, 1956. 53. Stemmermann, G. N.: Serum Protein Changes in Subacute Thyroiditis , J. A. M. A. 162: 31-32, 1956. 54. Stich, M. H.: Steroid Therapy of Subacute Thyroiditis , New York J. Med. 53:3034, 1953. 55. Taylor, L.: Cortisone Versus X-Ray in the Treatment of Subacute Thyroiditis: A Report of 4 Cases , Ann. Int. Med. 44:1082-1087, 1956. 56. Teitelman, S. L., and Rosenberg, E. F.: Acute Thyroiditis Treated with Cortisone , Ann. Int. Med. 38:1062-1065, 1953. 57. Traut, E. F.: Thyroiditis During Treatment with Cortisone , J. A. M. A. 149:832-833, 1952. 58. Wegelin, C.: Die Entzündungen der Schilddrüse , Ärtzl. Monatsh 5:3, 1949. 59. Werner, S. C.: ACTH and Cortisone Therapy of Acute Nonsuppurative (Subacute) Thyroiditis , J. Clin. Endocrinol. 13:1332-1340, 1953. 60. Werner, S. C., Editor: The Thyroid: A Fundamental and Clinical Text , New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1955, pp. 747-755. 61. Werner, S. C., and Spooner, M.: New and Simple Test for Hyperthyroidism Employing 1-Triiodothyronine and the 24-Hour I-131 Uptake Method , Bull. New York Acad. Med. 31:137-145, 1955. 62. Witebsky, E., and Rose, N. R.: Studies in Organ Specificity: IV. Production of Rabbit Thyroid Antibodies in the Rabbit , J. Immunol. 76:408-416, 1956. 63. Westwater, J. O.: Subacute Thyroiditis , California Med. 76:66-68, 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

Acute Nonsuppurative Thyroiditis: A Report of Twelve Cases and a Review of the Literature

BERGEN, STANLEY S.
A.M.A. Archives of Internal Medicine , Volume 102 (5) – Nov 1, 1958
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References (67)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1958.00260220063006
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Abstract

Abstract During the last five years there has been an increased interest in acute nonsuppurative thyroiditis and, concomitantly, an increased number of accurately diagnosed cases. Whether this can be accounted for by more astute observation and the availability of better diagnostic methods or whether this represents an actual increase in the occurrence of this disease is difficult to evaluate. Owing to the possibility of an infectious etiology of acute nonsuppurative thyroiditis, the occurrence of four cases in patients living within the area serviced by a 700-bed hospital within a period of 45 days lead me to review the documented cases of this disease seen in the hospital during the last five years. The findings of this study and a review of the literature form the basis of this article. Material and Results From June, 1952, to June, 1957, twelve adequately documented cases of acute nonsuppurative thyroiditis were treated as inpatients at References 1. Barr, D. P.: Thyroiditis and Myxedema (Wesley M. Carpenter Lecture) , Bull. New York Acad. Med. 29:551-569, 1953. 2. Benjamin, Z. H.: Subacute Thyroiditis: Report of 2 Cases , Am. J. Med. 18:677-678, 1955.Crossref 3. Bishopric, G. A.; Garret, N. H., and Nicholson, W. M.: Clinical Value of the TSH Test in the Diagnosis of Thyroid Diseases , Am. J. Med. 18:15-19, 1955.Crossref 4. Campbell, C. S.: Acute Non-Suppurative Thyroiditis , Northwest Med. 51:39, 1952. 5. Candel, S.: Acute Nonspecific Thyroiditis Following Measles: Report of a Case , U. S. Nav. M. Bull. 46:1109-1113, 1946. 6. Cantwell, R. C.: Thiouracil in Acute Thyroiditis , Ann. Int. Med. 29:730-732, 1948.Crossref 7. Clark, D. E.; Nelson, T. S., and Raiman, R. J.: Subacute Nonsuppurative Thyroiditis Treated with Cortisone , J. A. M. A. 151:551-552, 1953. 8. Crile, G., Jr.: Treatment of Thyroiditis , Arch. Surg. 57:443-449, 1948.Crossref 9. Crile, G., Jr.: Thyroiditis , Ann. Surg. 127: 640-654, 1948.Crossref 10. Crile, G., Jr.: Thyroiditis , Ann. Int. Med. 37:519-524, 1952.Crossref 11. Crile, G., Jr., and Rumsey, E. W.: Subacute Thyroiditis , J. A. M. A. 142:458-462, 1950.Crossref 12. Crile, G., Jr., and Hazard, J. B.: Classification of Thyroiditis, with Special Reference to the Use of Needle Biopsy , J. Clin. Endocrinol. 11: 1123-1127, 1951.Crossref 13. Crile, G., Jr., and Vickery, A. L.: Special Uses of the Silverman Biopsy Needle in Office Practice and at Operation , Am. J. Surg. 83:83-85, 1952.Crossref 14. Cutler, M.: Treatment of Subacute Thyroiditis with Corticotropin , J. A. M. A. 155:650-651, 1954.Crossref 15. de Quervain, F., and Giordanengo, G.: Die akute und subakute nicht-eitrige Thyreoiditis , Mitt. Grenzgeb. Med. u. Chir. 44:538-590, 1936. 16. Duncan, G. G., Editor: Diseases of Metabolism, Detailed Methods of Diagnosis and Treatment , Ed. 3, Philadelphia, W. B. Saunders Company, 1952, p. 980. 17. The Immunology of Thyroid Disease, Editorial , Lancet 1:1075-1076, 1957. 18. Eylan, E.; Zmucky, R., and Sheba, C.: Mumps Virus and Subacute Thyroiditis: Evidence of a Causal Association , Lancet 1:1062-1063, 1957.Crossref 19. Felix-Davis, D.: Autoimmunization in Subacute Thyroiditis , Lancet 1:880-883, 1958.Crossref 20. Fraser, R., and Harrison, R. J.: Subacute Thyroiditis , Lancet 1:382-386, 1952.Crossref 21. Fredrickson, D. S.; Forsham, P. H., and Thorn, G. W.: The Effect of Massive Cortisone Therapy on Measurements of Thyroid Function , J. Clin. Endocrinol. 12:541-553, 1952.Crossref 22. Gelfand, M. L.; Little, A. S., and Hoffman, K. F.: The Treatment of Subacute Nonsuppurative Thyroiditis with Cortisone , Am. J. M. Sc. 229:69-73, 1955.Crossref 23. Giordanengo, G.: Subacute Thyroiditis , Lancet 1:1144, 1938 24. abstracted from Minerva med. 29:353, 1938. 25. Hamilton, H. E.; Kirkendall, W. M., and Barker, S. B.: Radioactive Iodine Uptake of the Thyroid and Plasma Protein Bound Iodine in Subacute Thyroiditis , J. Clin. Invest. 29:819-820, 1950. 26. Hill, S. R., Jr.; Reiss, R. S.; Forsham, P. H., and Thorn, G. W.: The Effect of Adrenocorticotropin and Cortisone on Thyroid Function: Thyroid-Adrenocortical Interrelationships , J. Clin. Endocrinol. 10:1375-1400, 1950.Crossref 27. Hunter, R. C., Jr., and Sheehan, D. J.: Treatment of Subacute Thyroiditis with Cortisone , New England J. Med. 251:174-177, 1954.Crossref 28. Jefferies, W. M.; Levy, R. R.; Palmer, W. G.; Storaasli, J. P., and Kelly, L. W., Jr.: Value of Single Injection of Thyrotropin in Diagnosis of Obscure Hypothyroidism , New England J. Med. 249:876-884, 1953.Crossref 29. Jensen, D. R.: Acute Thyroiditis Complicating Scarlet Fever , Am. J. Surg. 60:301-303, 1946.Crossref 30. Johannessen, S. G.: Methylthiouracil in Subacute Thyroiditis , Nord. med. 48:1237, 1952. 31. Kahn, J.; Spritzler, R. J., and Shector, W. E.: Cortisone Treatment of Subacute Nonsuppurative Thyroiditis: Report of 2 Cases , Ann. Int. Med. 39:1129-1133, 1953.Crossref 32. Keating, F. R., Jr.; Haines, S. F.; Power, M. H., and Williams, M. M. D.: The Radioiodine-Accumulating Function of the Human Thyroid Gland as a Diagnostic Test in Clinical Medicine , J. Clin. Endocrinol. 10:1425-1464, 1950.Crossref 33. King, B. T., and Rosellini, L. J.: Treatment of Acute Thyroiditis with Thiouracil: Preliminary Report , J. A. M. A. 129:267-268, 1945.Crossref 34. Kinsell, L. W.: The Clinical Application of Pituitary Adrenocorticotropic and Adrenal Steroid Hormones , Ann. Int. Med. 35:615-651, 1951.Crossref 35. Krupp, M. A.; Saier, M.; Keddie, F.; Tanner, R., and Snell, A. M.: Experience with Cortisone and ACTH in a Private Clinic , California Med. 75:6-10, 1951. 36. Kuhl, W. J., Jr., and Ziff, M.: Alteration of Thyroid Function by ACTH and Cortisone , J. Clin. Endocrinol. 12:554-559, 1952.Crossref 37. Landmann, H. R.: Acute Thyroiditis Treated with Cortisone , Am. Pract. & Digest. Treat. 5:130-131, 1954. 38. Lasser, R. P., and Grayzel, D. M.: Subacute Thyroiditis, Struma Fibrosa, Struma Lymphomatosa: A Clinical-Pathological Study , Am. J. M. Sc. 217:518-529, 1949. 39. Lasser, R. P.: Subacute Thyroiditis Treated with Cortisone , J. A. M. A. 152:1133-1134, 1953. 40. McConahey, W. M., and Keating, F. R., Jr.: Radioiodine Studies in Thyroiditis , J. Clin. Endocrinol. 11:1116-1122, 1951. 41. Menin, W.; Kravitz, C. H., and Greenspan, B.: Thyroiditis: Acute and Chronic , Pennsylvania M. J. 56:885-889, 1953. 42. Moldover, A.: Subacute Thyroiditis: Report of 3 Cases Treated with Cortisone , A. M. A. Arch. Int. Med. 98:322-327, 1956.Crossref 43. Osmond, J. D., Jr., and Portmann, U. V.: Subacute (Pseudotuberculous, Giant Cell) Thyroiditis and Its Treatment , Am. J. Roentgenol. 61:826-829, 1949. 44. Perry, W. F.: Action of Cortisone and ACTH on Thyroid Function , Endocrinology 49: 284-288, 1951.Crossref 45. Reveno, W. S., and Rosenbaum, H.: Treatment of Acute Thyroiditis with Antithyroid Drugs , New England J. Med. 245:364-366, 1951.Crossref 46. Robbins, J.; Rall, J. E.; Trunnell, J. B., and Rawson, R. W.: The Effect of Thyroid-Stimulating Hormone in Acute Thyroiditis , J. Clin. Endocrinol. 11:1106-1115, 1951.Crossref 47. Roitt, I. M., Doniach, D.; Campbell, P. N., and Hudson, R. V.: Auto-Antibodies in Hashimoto's Disease (Lymphadenoid Goitre) , Lancet 2:820-821, 1956.Crossref 48. Rose, N. R., and Witebsky, E.: Studies on Organ Specificity: V. Changes in Thyroid Glands of Rabbits Following Active Immunization with Rabbit Thyroid Extracts , J. Immunol. 76:417-427, 1956. 49. St. John, J. H., and Nicholson, W. M.: An Evaluation of the Treatment of Thyroiditis , South. M. J. 44:1059-1062, 1945. 50. Schilling, J. A.: Struma Lymphomatosa, Struma Fibrosa and Thyroiditis , Surg. Gynec. & Obst. 81:533-550, 1945. 51. Sein, M.: Acute Nonsuppurative Thyroiditis , Lancet 2:673, 1938. 52. Skillern, P. G.; Nelson, H. E., and Crile, G., Jr.: Some New Observations on Subacute Thyroiditis , J. Clin. Endocrinol. 16:1422-1433, 1956. 53. Stemmermann, G. N.: Serum Protein Changes in Subacute Thyroiditis , J. A. M. A. 162: 31-32, 1956. 54. Stich, M. H.: Steroid Therapy of Subacute Thyroiditis , New York J. Med. 53:3034, 1953. 55. Taylor, L.: Cortisone Versus X-Ray in the Treatment of Subacute Thyroiditis: A Report of 4 Cases , Ann. Int. Med. 44:1082-1087, 1956. 56. Teitelman, S. L., and Rosenberg, E. F.: Acute Thyroiditis Treated with Cortisone , Ann. Int. Med. 38:1062-1065, 1953. 57. Traut, E. F.: Thyroiditis During Treatment with Cortisone , J. A. M. A. 149:832-833, 1952. 58. Wegelin, C.: Die Entzündungen der Schilddrüse , Ärtzl. Monatsh 5:3, 1949. 59. Werner, S. C.: ACTH and Cortisone Therapy of Acute Nonsuppurative (Subacute) Thyroiditis , J. Clin. Endocrinol. 13:1332-1340, 1953. 60. Werner, S. C., Editor: The Thyroid: A Fundamental and Clinical Text , New York, Paul B. Hoeber, Inc. (medical book department of Harper & Brothers), 1955, pp. 747-755. 61. Werner, S. C., and Spooner, M.: New and Simple Test for Hyperthyroidism Employing 1-Triiodothyronine and the 24-Hour I-131 Uptake Method , Bull. New York Acad. Med. 31:137-145, 1955. 62. Witebsky, E., and Rose, N. R.: Studies in Organ Specificity: IV. Production of Rabbit Thyroid Antibodies in the Rabbit , J. Immunol. 76:408-416, 1956. 63. Westwater, J. O.: Subacute Thyroiditis , California Med. 76:66-68, 1952.

Journal

A.M.A. Archives of Internal Medicine – American Medical Association

Published: Nov 1, 1958

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