Reactions 1680, p16 - 2 Dec 2017 Subacute thyroiditis and thyrotoxicosis: case report A 50-year-old woman developed subacute thyroiditis (SAT) and thyrotoxicosis during treatment with adalimumab. The woman, who was diagnosed with psoriatic arthritis in 2013, was on SC adalimumab 40mg every other week. She was admitted due to complaints of fever from two weeks and pharyngeal pain. She received treatment with amoxicillin without effect. Rapidly, a painful thyroid goiter with clinical signs of thyrotoxicosis appeared. Blood tests showed systemic inflammation with a c-reactive protein of 115 mg/L) and hyperthyroidism with undetectable circulating thyroid stimulating hormone and increased T4 and T3 levels. Anti- thyroid antibodies were negative, except for anti-thyroglobulin antibodies of 351 UI/mL. Ultrasonography of thyroid showed an increased hypervascularised pattern. Iodine 123 scintiggraphy revealed asymmetric fixation capture at the lower normal limit. She was diagnosed with SAT was made [duration of treatment to reaction onset not stated]. The woman was treated with aspirin [acetylsalicylic acid] with no efficacy. Then, she was treated with unspecified corticosteroids for two weeks and progressive decay was administered. Her symptoms improved significantly and progressive hypothyroidism appeared. Adalimumab was not restarted. Author comment: "We report here a subacute thyroiditis in a [psoriatic arthritis] patient treated by adalimumab. The physician might be aware of this unusual complication of [TNF inhibitor]." Senlis M, et al. Subacute thyroiditis in psoriatic arthritis treated by adalimumab. Joint Bone Spine 84: 745-746, No. 6, Dec 2017. Available from: URL: http:// doi.org/10.1016/j.jbspin.2016.09.015 - France 803285194 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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