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​Pathology - Subacute (de Quervain, Granulomatous) Thyroiditis

Linked to viral infection, particularly mumps or Coxsackievirus.
Prevalent among women between the ages of 30 and 50.

Thyroid is mildly enlarged.
Microscopic findings include granulomatous inflammation and destruction of thyroid follicles.

Flu-like symptoms linked to temporary hyperthyroidism, fever, and a sensitive thyroid gland, then transitioning to temporary hypothyroidism.

NSAIDs or prednisone can be used for severe discomfort, with monthly monitoring of thyroid function tests to confirm remission of abnormalities.
Most patients recover to a normal thyroid condition within 6 months in this self-limiting sickness.
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