急性化脓性甲状腺炎1例报道并文献复习  

Acute suppurative thyroiditis:a case report and literature review

作　　者：王娟 陈其谋 刘其聪 陈光敏 蒋鹏 张瑞 周厚地 WANG Juan;CHEN Qimou;LIU Qicong;CHEN Guangmin;JIANG Peng;ZHANG Rui;ZHOU Houdi(Department of Endocrinology,University-Town Hospital of Chongqing Medical University,Chongqing 401331,China)

机构地区：[1]重庆医科大学附属大学城医院内分泌(代谢)科,重庆401331

出　　处：《上海交通大学学报（医学版）》2022年第10期1504-1510,共7页Journal of Shanghai Jiao tong University:Medical Science

基　　金：重庆市教委科学技术研究项目(KJQN202000447)。

摘　　要：急性化脓性甲状腺炎(acute suppurative thyroiditis,AST)是一种极少见且可能致命的甲状腺疾病。该文报道了1名以“咽痛1月伴左侧颈部包块2周”为主要表现的病例,其临床表现不典型,治疗初期被误认为亚急性甲状腺炎,曾予糖皮质激素治疗;后因疗效不佳,行超声引导下细针穿刺活检后,明确了AST的诊断。与此同时,该文就历年来年龄≥50岁的AST患者的特点进行分析。Acute suppurative thyroiditis(AST) is a rare and possibly fatal thyroid disease.A case with "sore throat one month accompanied by left neck mass for two weeks" as the main presentation was reported.The clinical presentation was atypical,and was mistaken for subacute thyroiditis.She was treated with glucocorticoid.The diagnosis of AST was confirmed after ultrasoundguided fine needle aspiration,due to poor efficacy.The features of AST patients over the age of fifty years were also analyzed.

关 键 词：急性化脓性甲状腺炎 亚急性甲状腺炎 超声引导下细针穿刺 

分 类 号：R581.4[医药卫生—内分泌]