The De Quervain's thyroiditis related to ENT pathologies is also called :

  • giant cell thyroiditis
  • subacute granulomatous granulomatous thyroiditis
  • pseudo-tuberculous thyroiditis

Four times less common than Hashimoto's thyroiditis and five times less than the Basedow's disease.

This harmless inflammation of the thyroid has a viral strain.

  • It is born as a result of an ENT pathology. For example, rhinopharyngitis, sinusitis, flu, angina, otitis, bronchitis, etc.
  • It appears mainly at the end of the summer or spring seasons and mainly affects women.

A statement in the form of thyroiditis in his or her symptoms with a real inflammatory syndrome :

  • oedema
  • pain
  • warmth
  • redness

Usually it is accompanied by an increase in the volume of the thyroid gland and often a deterioration of its normal state.

ENT pathology: Quervain's thyroiditis
ENT pathology: Quervain's thyroiditis

Symptoms of this thyroiditis in the ENT sphere

Although relatively harmless, De Quervain's thyroiditis generally manifests itself with the following symptoms:

ENT pathology: Quervain's thyroiditis

  • a painful or palpable thyroid gland
  • the thyroid, stiff, accentuates the volume slightly without really showing a goiter
  • various muscle pains
  • hyperthyroidism with mild symptoms
  • fever with severe sweating
  • general condition condition condition
  • biting pains at neck level:
    1. with an upward irradiation
    2. heterogeneous at the neck from one side to the other at the beginning
    3. subsequently often generalized throughout the area
  • related symptoms:
    1. frequently with a dysphagia which causes difficulty in swallowing
    2. a heart rate accelerated
    3. frequent hand tremors

NB: Exceptionally, mild hypothyroidism can be detected in 5% of cases.

Diagnosis of cases of Quervain's thyroiditis

The diagnosis of cases of De Quervain's thyroiditis is made easier thanks to :

  • the questionnaire revealing the history of ENT pathologies preceding the two months
  • to blood tests confirming:
    1. inflammation due to a particularly high sedimentation rate 
    2. a syndrome inflammatory bound to excess C-reactive protein (CRP)  
    3. a TSH at a low level
    4. anecdotally, hormonal peaks in T3 and T4 
    5. at the beginning of the pathology a slight positive of antithyroid antibodies

The act of a ultrasound of the thyroid would make it possible to observe more precisely whether the gland Thyroid is granular and has inconspicuous hypoechoic areas.

A CT scan might be useful to confirm a diagnosis.

ENT treatment of Quervain's thyroiditis

The doctor normally prescribes chemical molecules, such as painkillers and beta-blockers, to limit possible cardiac disorders iatrogenically generated by these molecules.

De Quervain's thyroiditis can be treated with the same protocol as Hashimoto's or Basedow's disease.

IMMUNIM VITAL helps thyroid function by hypothyroidism as in hyperthyroidism

 

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