Tireoidite subaguda

Embora raramente relatado, o grau de elevação do hormônio tireoidiano pode ser extremamente alto, resultando em descompensação fisiológica ou tempestade tireoidiana.[60]Sherman SI, Simonson L, Ladenson PW. Clinical and socioeconomic predispositions to complicated thyrotoxicosis: a predictable and preventable syndrome? Am J Med. 1996 Aug;101(2):192-8. http://www.ncbi.nlm.nih.gov/pubmed/8757360?tool=bestpractice.com [61]Swinburne JL, Kreisman SH. A rare case of subacute thyroiditis causing thyroid storm. Thyroid. 2007 Jan;17(1):73-6. http://www.ncbi.nlm.nih.gov/pubmed/17274754?tool=bestpractice.com [62]Gaballa S, Hlaing KM, Bos N, et al. A rare case of subacute painful thyroiditis causing thyroid storm and a successful trial of propylthiouracil. Cureus. 2020 Jul 29;12(7):e9461. https://www.doi.org/10.7759/cureus.9461 http://www.ncbi.nlm.nih.gov/pubmed/32760639?tool=bestpractice.com

Aproximadamente 15% dos pacientes terão hipotireoidismo permanente e necessitarão de levotiroxina ao longo da vida para a normalização do TSH.[2]Fatourechi V, Aniszewski JP, Fatourechi GZ, et al. Clinical features and outcome of subacute thyroiditis in an incidence cohort: Olmsted county, Minnesota, study. J Clin Endocrinol Metab. 2003 May;88(5):2100-5. http://www.ncbi.nlm.nih.gov/pubmed/12727961?tool=bestpractice.com ​[4]Ross DS, Burch HB, Cooper DS, et al. 2016 American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxicosis. Thyroid. 2016 Oct;26(10):1343-421. https://www.liebertpub.com/doi/10.1089/thy.2016.0229 http://www.ncbi.nlm.nih.gov/pubmed/27521067?tool=bestpractice.com

Hipotireoidismo primário