QuestionSBA
QuestionChoice
This is a rare disease characterised by fibrosis of the thyroid, which leads to hypothyroidism and a goitre which would typically be painless. In this scenario, the patient describes symptoms of hyperthyroidism and has a painful goitre, making this a less likely option.
10035509
c
Ridel’s thyroiditis
QuestionChoice
Whilst Graves' disease is the most common cause of hyperthyroidism in the UK it would not typically present with a tender goitre. The recent viral infection also points towards subacute thyroiditis.
10035508
b
Graves’ disease
QuestionChoice
This would usually cause a unilateral, pulsatile neck mass and would not cause any symptoms of hyperthyroidism.
10035510
d
Carotid aneurysm
QuestionChoice
The patient denied any history of weight loss and this is less likely to cause a painful goitre.
10035511
e
Thyroid adenoma
QuestionChoice
This is a classic description of a case of subacute thyroiditis in the thyrotoxic phase, with symptoms of hyperthyroidism and a tender goitre. it is a transient inflammation of the thyroid gland which often can be triggered by a viral infection.
10035507
a
Subacute thyroiditis
Concept
Chapter
2693
6133
Goitre
Topic
221
Endocrine
19505
Subacute thyroiditis presents with fever, malaise, and a tender goitre, often following a viral infection, leading to transient hyperthyroid symptoms.
A 53-year-old female has a fever and malaise. She states she has felt more anxious and experienced palpitations in the 3 days. On examination, she has a symmetrical swelling around the midline of her lower neck. It is very tender on palpation. She describes having a sore throat 3 weeks ago but denies any other symptoms including weight loss.

What is the most likely diagnosis?
a