Table 3

Differential Diagnostic Considerations in the Thyrotoxic Patient [Typical findings in each disease]

Element PFSAT PLSAT PPT Graves’
Neck Pain YesNoNoNo
Recent URI YesNoNoNo
Systemic symptoms YesNoNoNo
Recent Pregnancy NoNoYesNo
Thyroid symptoms YesYesYesYes
ESR ElevatedNormalNormalNormal
CRP ElevatedNormalNormalNormal
TSH ↑/ ↓/ Nl↑/ ↓/ Nl↑/ ↓/ NlSuppressed
FT4 ↑/ ↓/ Nl↑/ ↓/ Nl↑/ ↓/ NlNl/↑
TT3 ↑/ ↓/ Nl↑/ ↓/ Nl↑/ ↓/ NlNl/ ↑
T3/T4 < 20< 20< 20> 20
Thyroglobulin ElevatedElevatedElevatedElevated
TPO-ab Negative+/−, Pos+/−, Pos+/−, Pos
Tg-ab Negative+/−, Pos+/−, Pos+/−, Pos
TSHR-ab NegativeNegNegPos
RAIU/Scan Low/ Not visibleLow/ Not visibleLow/ Not visibleHigh/ diffuse
US Echo-genicity Hypo-
echoic
Hypo-
echoic
Hypo-
echoic
Hypo-
echoic
Vascularity DecreasedDecreasedDecreasedIncreased

PFSAT= painful subacute thyroiditis; PLSAT= painless subacute thyroiditis;

PPT= postpartum thyroiditis

From: Subacute Thyroiditis

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