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September 3, 1982, Vol 248, No. 9 >
ARTICLE | September 3, 1982

Recurrence and Heterogeneity in Painless Thyrotoxic Lymphocytic Thyroiditis: Title and subTitle BreakReport of Five Cases FREE

Harris C. Taylor, MD; Leslie R. Sheeler, MD
[+] Author Affiliations

Presented in part before the 14th Acta Endocrinologica Congress, Cambridge, England, Aug 27, 1981.

Reprint requests to Division of Endocrinology, Lutheran Medical Center, 2609 Franklin Blvd, Cleveland, OH 44113 (Dr Taylor).


JAMA. 1982;248(9):1085-1088. doi:10.1001/jama.1982.03330090055029
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References

Five patients had recurrent episodes of spontaneously resolving thyrotoxicosis (SRT). Three displayed only the classic low-uptake variety of this disorder, while two had alternating episodes of high-uptake and low-uptake thyrotoxicosis. Two of the three with low uptake only who had thyrotropin displacement activity (TDA) assays had negative results on this test, while one of the patients with alternating high- and low-uptake thyrotoxicosis had a positive TDA assay result, suggesting that the pathogenesis in the two types of SRT may differ.

(JAMA 1982;248:1085-1088)

REFERENCES

1 +
Hamburger JL:  Subacute thyroiditis: Diagnostic difficulties and simple treatment . JNM 1974;;15:81-89.
2 +
Papapetrou PD, Jackson IMD:  Thyrotoxicosis due to 'silent' thyroiditis . Lancet 1975;;1:361-363.
3 +
Gluck FB, Nusynowitz ML, Plymate S:  Chronic lymphocytic thyroiditis, thyrotoxicosis and low radioactive iodine uptake . NEngl JMed 1975;;293:624-628.
4 +
Hofeldt FD, Weled BJ, Brown JE, et al:  'Silent thyroiditis' versus thyrotoxicosis factitia . Minn Med 1976;;59:380-383.
5 +
Blonde L, Witkin M, Harris R:  Painless subacute thyroiditis simulating Graves' disease . West J Med 1976;;125:75-78.
6 +
Woolf PD, Daly R:  Thyrotoxicosis with painless thyroiditis . Am J Med 1976;;60:73-80.
7 +
Dorfman SG, Cooperman MT, Nelson RL, et al:  Painless thyroiditis and transient hyperthyroidism without goiter . Ann Intern Med 1977;; 86:24-28.
8 +
Ginsburg J, Walfish PG:  Postpartum transient thyrotoxicosis with painless thyroiditis . Lancet 1977;;1:1125-1128.
9 +
Gorman CA, Duick DS, Woolner LB, et al:  Transient hyperthyroidism with lymphocytic thyroiditis . Mayo Clin Proc 1978;;53:359-365.
10 +
Amino N, Yabu Y, Miyai K, et al:  Differentiation of thyrotoxicosis induced by thyroid destruction from Graves' disease . Lancet 1978;; 2:344-346.
11 +
Nikolai TF, Brosseau J, Kettrick MA, et al:  Lymphocytic thyroiditis with spontaneously resolving hyperthyroidism (silent thyroiditis) . Arch Intern Med 1980;;140:478-482.
12 +
Grenfell RF, Sheeler LR, Skillern PG:  Recurrent thyrotoxicosis with painless thyroiditis . South Med J 1980;;73:394-395.
13 +
Woolf PD:  Transient painless thyroiditis with hyperthyroidism: A variant of lymphocytic thyroiditis? Endocr Rev 1980;;1:411-420.
14 +
Smith BR, Hall R:  Thyroid stimulating immunoglobulins in Graves' disease . Lancet 1974;;2:427-431.
15 +
Savoie JC, Massin JP, Thomopoulos P, et al:  Iodine-induced thyrotoxicosis in apparently normal thyroid glands . J Clin Endocrinol Metabol 1975;;41:685-691.
16 +
Amino N, Miyai K, Yamamoto T, et al:  Transient recurrence of hyperthyroidism after delivery in Graves' disease . J Clin Endocrinol Metabol 1977;;44:130-136.
17 +
Check JH, Avellino J:  Painless thyroiditis and transient thyrotoxicosis after Graves' disease . JAMA 1980;;244:1361.
18 +
Eckel RH, Green WL:  Postpartum thyrotoxicosis in a patient with Graves' disease: Association with low radioactive iodine uptake . JAMA 1980;;243:1454-1456.
19 +
Dailey GE:  Recurrent postpartum transient hyperthyroidism . Ann Intern Med 1979;; 90:719-720.
20 +
Kreider KR:  Hyperthyroidism without goiter . Ann Intern Med 1977;;87:120.
21 +
Nikolai TF, Coombs GJ, McKenzie AK:  Lymphocytic thyroiditis with spontaneously resolving hyperthyroidism and subacute thyroiditis: Long-term follow-up . Arch Intern Med 1981;; 141:1455-1458.

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1 +
Hamburger JL:  Subacute thyroiditis: Diagnostic difficulties and simple treatment . JNM 1974;;15:81-89.
2 +
Papapetrou PD, Jackson IMD:  Thyrotoxicosis due to 'silent' thyroiditis . Lancet 1975;;1:361-363.
3 +
Gluck FB, Nusynowitz ML, Plymate S:  Chronic lymphocytic thyroiditis, thyrotoxicosis and low radioactive iodine uptake . NEngl JMed 1975;;293:624-628.
4 +
Hofeldt FD, Weled BJ, Brown JE, et al:  'Silent thyroiditis' versus thyrotoxicosis factitia . Minn Med 1976;;59:380-383.
5 +
Blonde L, Witkin M, Harris R:  Painless subacute thyroiditis simulating Graves' disease . West J Med 1976;;125:75-78.
6 +
Woolf PD, Daly R:  Thyrotoxicosis with painless thyroiditis . Am J Med 1976;;60:73-80.
7 +
Dorfman SG, Cooperman MT, Nelson RL, et al:  Painless thyroiditis and transient hyperthyroidism without goiter . Ann Intern Med 1977;; 86:24-28.
8 +
Ginsburg J, Walfish PG:  Postpartum transient thyrotoxicosis with painless thyroiditis . Lancet 1977;;1:1125-1128.
9 +
Gorman CA, Duick DS, Woolner LB, et al:  Transient hyperthyroidism with lymphocytic thyroiditis . Mayo Clin Proc 1978;;53:359-365.
10 +
Amino N, Yabu Y, Miyai K, et al:  Differentiation of thyrotoxicosis induced by thyroid destruction from Graves' disease . Lancet 1978;; 2:344-346.
11 +
Nikolai TF, Brosseau J, Kettrick MA, et al:  Lymphocytic thyroiditis with spontaneously resolving hyperthyroidism (silent thyroiditis) . Arch Intern Med 1980;;140:478-482.
12 +
Grenfell RF, Sheeler LR, Skillern PG:  Recurrent thyrotoxicosis with painless thyroiditis . South Med J 1980;;73:394-395.
13 +
Woolf PD:  Transient painless thyroiditis with hyperthyroidism: A variant of lymphocytic thyroiditis? Endocr Rev 1980;;1:411-420.
14 +
Smith BR, Hall R:  Thyroid stimulating immunoglobulins in Graves' disease . Lancet 1974;;2:427-431.
15 +
Savoie JC, Massin JP, Thomopoulos P, et al:  Iodine-induced thyrotoxicosis in apparently normal thyroid glands . J Clin Endocrinol Metabol 1975;;41:685-691.
16 +
Amino N, Miyai K, Yamamoto T, et al:  Transient recurrence of hyperthyroidism after delivery in Graves' disease . J Clin Endocrinol Metabol 1977;;44:130-136.
17 +
Check JH, Avellino J:  Painless thyroiditis and transient thyrotoxicosis after Graves' disease . JAMA 1980;;244:1361.
18 +
Eckel RH, Green WL:  Postpartum thyrotoxicosis in a patient with Graves' disease: Association with low radioactive iodine uptake . JAMA 1980;;243:1454-1456.
19 +
Dailey GE:  Recurrent postpartum transient hyperthyroidism . Ann Intern Med 1979;; 90:719-720.
20 +
Kreider KR:  Hyperthyroidism without goiter . Ann Intern Med 1977;;87:120.
21 +
Nikolai TF, Coombs GJ, McKenzie AK:  Lymphocytic thyroiditis with spontaneously resolving hyperthyroidism and subacute thyroiditis: Long-term follow-up . Arch Intern Med 1981;; 141:1455-1458.

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