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Non-pulmonary acute thyroiditis
Medical expert of the article
Last reviewed: 07.07.2025
Non-purulent acute thyroiditis occurs as an aseptic inflammation due to trauma and hemorrhage in the gland or after radiation therapy. The recently used method of treatment with fractional doses of 131 I has reduced the incidence of radiation thyroiditis. Previously, they occurred in about 5% of cases 2-3 weeks after taking the drug due to the destruction of the follicular epithelium.
[ Symptoms non-purulent acute thyroiditis.
Patients are concerned about pain, a feeling of pressure in the gland area, sometimes moderate symptoms of thyrotoxicosis; tachycardia, emotional lability, sweating.
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Treatment non-purulent acute thyroiditis.
Treatment of non-purulent acute thyroiditis is symptomatic: analgesics, beta-blockers. Usually the disease goes away within 3-4 weeks. Particular attention should be paid to the possibility of developing post-radiation thyroiditis with a retrosternal location of the gland, since an increase in the size of the gland due to inflammation can cause compression of the mediastinal organs, which is one of the contraindications for the use of radioactive iodine (it is used only if there is a suspicion of malignancy of the goiter).