The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(5):630-636.
아급성 갑상선염이 동반된 갑상선 자율기능성 결절 1예
강미자, 권혁상, 최윤희, 윤건호, 차봉연, 손호영, 정찬권
A case of an autonomously functioning thyroid nodule combined with subacute thyroiditis
Mi Ja Kang, Hyuk Sang Kwon, Yoon Hee Choi, Kun Ho Yoon, Bong Yun Cha, Ho Young Son, Chan Kwon Jung


Abstract
The most common cause of thyrotoxicosis is Graves’ disease, followed by toxic adenoma, multiple nodular toxic goiter, and temporary thyroiditis. At initial presentation, however, it is often difficult to recognizinge subacute thyroiditis as a thyroid disease is often difficult. In many cases, subacute thyroiditis may be mistaken for certain upper respiratory infectious diseases, due to their similar clinical manifestations. Additionally, when subacute thyroiditis coexists with a thyroid nodule or is accompanied by severe thyrotoxicosis, it can be misdiagnosed as a thyroid tumor, toxic adenoma, or Graves’ disease. Here we report the case of an autonomously functioning thyroid nodule combined with subacute thyroiditis, which was nearly misdiagnosed as toxic adenoma. This is the first reported case in Korea of a patient who had an autonomously functioning thyroid nodule combined with subacute thyroiditis, which was nearly misdiagnosed as toxic adenoma.

Keywords :Thyroiditis, Subacute, Thyroid nodule, Thyrotoxicosis
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