TY  - JOUR
TI  - A Single-Center Experience in the Diagnosis and Treatment of Subacute Thyroiditis: Should Steroids Always Be the First Choice?
AB  - We aimed to evaluate the clinical and laboratory findings of our patients with subacute thyroiditis (SAT) and their responses to the treatments given. Twenty SAT patients and 31 healthy controls were included in this retrospective case-control study. The clinical and laboratory data were obtained from the file records. The patient group consisted predominantly of women. The thyroid function tests and acute phase reactants of the patient group were different than the controls, as expected. The platelet count and alkaline phosphatase levels were found to be significantly higher in the patient group. Remission was achieved in 17 patients with non-steroidal anti-inflammatory drug (NSAID) treatment, five of the patients were administered steroid treatment in another center, and switched to NSAIDs by us. Only one patient switched from NSAIDs to steroids. Two patients were switched to acetylsalicylic acid treatment due to moderate transaminase elevation. One of the patients was in the 16th week of pregnancy and took NSAID treatment due to her appropriate trimester. Remission was achieved in all patients with the treatments we administered, and no recurrence was observed in any patient. SAT may be encountered by clinicians from different specialties in daily practice. Referral of the patient to an internist or an endocrinologist is important in terms of timely diagnosis and right treatment. Since SAT shows a self-limiting feature, clinicians should not be in a hurry to administer steroids, NSAID option should always be considered.
AU  - Şahin Tekin, Melisa
AU  - Yorulmaz, Goknur
DO  - 10.20515/otd.1135858
PY  - 2022
JO  - Osmangazi Tıp Dergisi
VL  - 44
IS  - 5
SN  - 1305-4953
SP  - 715
EP  - 721
DB  - TRDizin
UR  - http://search/yayin/detay/1127692
ER  -