Thyroid Tenderness: Causes & Reasons

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Possible Causes for Thyroid Tenderness

De Quervain Thyroiditis

This disease usually presents with thyroid tenderness, a low grade fever, and occasional dysphagia. [ncbi.nlm.nih.gov]

This case illustrates the fact that subacute thyroiditis should be considered as a possible cause of fever even if signs and symptoms of hyperthyroidism and thyroid tenderness [ncbi.nlm.nih.gov]

Common symptoms include fever, thyroid tenderness associated pain, and initial hyperthyroidism sometimes followed by a transient period of hypothyroidism with generally favourable [ncbi.nlm.nih.gov]

Thyroid Cyst with Hemorrhage

Multinodular goiter Thyroid cyst or Thyroid adenoma Thyroiditis nodule Subacute thyroiditis Firm or hard, tender thyroid; may be unilateral Usually seen in association with [enotes.tripod.com]

[…] as an ache, with an evident tenderness to touch and swelling of the thyroid gland. [hyperthyroidismsymptomsx.com]

Tenderness on thyroid is usually exquisite in acute inflammatory conditions where as chronic lymphocytic thyroiditis would have minimal tenderness which is confined to one [waent.org]

Hashimoto Thyroiditis

The term "silent" refers to the absence of thyroid tenderness in contrast with subacute thyroiditis, which usually causes thyroid tenderness. [merckmanuals.com]

The following are a list of the more common symptoms of Hashimoto’s Thyroiditis: Large thyroid or goiter Neck/thyroid tenderness Fatigue Weight gain Cold intolerance Joint [thyroidcancer.com]

Silent lymphocytic thyroiditis causes most cases of postpartum thyroid dysfunction. It occurs in about 5 to 10% of postpartum women. [merckmanuals.com]

Postpartum Thyroiditis

Presentation Subacute thyroiditis : tender thyroid enlarged on one side and may have pain in the throat or otalgia. [patient.info]

A tender, irregular thyroid gland may suggest subacute thyroiditis .If hyperthyroidism is suspected, the TSH level should... [evidence.nhs.uk]

[…] first presents, many women also experience a swollen, non-tender thyroid and may even have difficulty swallowing. [thyroidnation.com]

Hashitoxicosis

It was initially described as a painless form of subacute thyroiditis, a disorder characterized by thyrotoxicosis associated with thyroid pain and tenderness. [pubs.rsna.org]

Exacerbations with sudden enlargement and tenderness of the thyroid gland and general features of inflammation (elevated C-reactive protein levels and erythrocyte sedimentation [empendium.com]

7 The thyroid is firm, nodular and exquisitely tender to palpation. [aafp.org]

Injury of the Thyroid Gland

Subacute lymphocytic thyroiditis is distinguished from subacute thyroiditis by the absence of thyroid pain and tenderness. [aafp.org]

thyroiditis (painful, de Quervain) Viral infection Painful, tender and swollen gland Malaise, fever, chills, and night sweats Thyrotoxicosis, often followed by hypothyroidism [surgery.ucsf.edu]

Presentation Cellulitis typically presents as erythema, warmth, and tenderness of neck skin around the incision A superficial abscess produces fluctuance and tenderness A [emedicine.medscape.com]

Thyroiditis

Subacute thyroiditis is an acute inflammatory disease of the thyroid probably caused by a virus. Symptoms include fever and thyroid tenderness. [merckmanuals.com]

based on finding an enlarged, tender thyroid in patients with the appropriate clinical history. [msdmanuals.com]

There usually is thyroid tenderness and occasional dysphagia. [ajnr.org]

Silent Thyroiditis

The term "silent" refers to the absence of thyroid tenderness in contrast with subacute thyroiditis, which usually causes thyroid tenderness. [msdmanuals.com]

Presentation Subacute thyroiditis : tender thyroid enlarged on one side and may have pain in the throat or otalgia. [patient.info]

Patients present with symptoms of thyrotoxicosis, but unlike subacute thyroiditis, lack thyroid pain or tenderness. [ncbi.nlm.nih.gov]

Aglossia and Situs Inversus

Routine pathological investigations and thyroid function tests showed no abnormal findings. Tenderness in upper anterior jaw was... [go.gale.com]

Riedel Thyroiditis

Presentation Subacute thyroiditis : tender thyroid enlarged on one side and may have pain in the throat or otalgia. [patient.info]

Three years later, she visited with tenderness and enlargement of thyroid mass, and laboratory and radiology findings suggested that she had a malignant thyroid tumor as well [ncbi.nlm.nih.gov]

Chronic thyroiditis : three types are autoimmune thyroiditis - eg, Hashimoto's thyroiditis, Riedel's thyroiditis (occurs in middle-aged pregnant women) and parasitic thyroiditis [patient.info]

Toxic Thyroid Adenoma

High titers of anti-thyroid antibodies (anti-peroxidase or anti-thyroglobulin). Lymphocytic infiltration of thyroid gland with fibrosis. Firm, non-tender goiter. [quizlet.com]

She had thyroid gland tenderness, symptoms of thyrotoxicosis, increased erythrocyte sedimentation rate [45mm/hr], raised free-T4 [29pmol/L] with thyrotropin suppression [0.005mIU [austinpublishinggroup.com]

[…] disease goiter hyper- or hypothyroidism nodular tenderness Approach to Thyroid Nodules Discovery of a thyroid nodule begin with a thorough history and physical exam this [medbullets.com]

Laryngeal Fracture

On presentation, the patient's symptoms included the triad of odynophagia, dysphagia, and dysphonia as well as diffuse swelling and tenderness over the thyroid cartilage. [einstein.pure.elsevier.com]

His thyroid cartilage was tender to palpation without ecchymosis, subcutaneous emphysema, or palpable step-offs. [jamanetwork.com]

Examination revealed a tender, 3.5-cm area of ecchymosis overlying the thyroid cartilage. No subcutaneous emphysema or step-offs were detected by palpation. [jamanetwork.com]

Thyrotoxicosis Factitia

The thyroid gland may be diffusely enlarged, but thyroid tenderness is absent. - Thyroid Storm - life-threatening medical emergency characterized by severe thyrotoxicosis, [flashcardmachine.com]

In subacute (De Quervain's) thyroiditis symptoms patients may have fever in the initial phase and the thyroid is tender. [jiscmail.ac.uk]

Goiter (often with a bruit) in Graves disease Moderately enlarged, tender thyroid in subacute thyroiditis Eye Upper eyelid retraction Stare and lid lag with downward gaze [accessmedicine.mhmedical.com]

Hyperthyroidism

In addition, some patients with silent thyroiditis may have a tender thyroid gland, and some patients with subacute thyroiditis have only mild thyroid tenderness. [emedicine.medscape.com]

If one or more thyroid nodules are palpated, the patient probably has AFTN or TMNG. If the thyroid gland is markedly tender, subacute thyroiditis is likely. [web.archive.org]

Symptoms of acute thyroiditis develop suddenly. Children have tenderness over the thyroid gland, and fever. [merckmanuals.com]

Thyrotoxicosis

On palpation there may be thyroid tenderness in patients with thyroiditis and auscultation may reveal a bruit. [symptoma.com]

In addition, some patients with silent thyroiditis may have a tender thyroid gland, and some patients with subacute thyroiditis have only mild thyroid tenderness. [emedicine.medscape.com]

Viral thyroiditis is usually preceded by an upper respiratory tract infection and the thyroid gland is tender to touch; the absence of these features makes viral thyroiditis [journals.plos.org]

Iodine-Induced Hyperthyroidism

tender goiter with transient hyperthyroidism), painless thyroiditis (nontender goiter with transient hyperthyroidism, most often seen in the postpartum period), and surreptitious [unboundmedicine.com]

Painful subacute thyroiditis Clinical features: Often follows a viral illness. Symptoms of shorter duration. Significant thyroid tenderness. [clinicaladvisor.com]

thyroiditis Leakage of hormone from gland Increased None Tender Lymphocytic thyroiditis, postpartum thyroiditis, medication-induced thyroiditis Leakage of hormone from gland [aafp.org]

Chronic Fibrous Thyroiditis

In the recovery stage disappears tenderness of the thyroid gland, thyroid hormone levels. [medusanews.com]

Gradually the thyroid recovers and stops spilling thyroid hormone into the blood stream. The thyroid gland begins to shrink and becomes less tender. [columbiasurgery.org]

[…] moderately enlarged and firm but not tender or painful Suppurative: Severe pain, tenderness, redness, fluctuation in thyroid area Riedel's: Thyroid asymmetrically enlarged [syrianclinic.com]

Chronic Thyroiditis

The thyroid gland can be mildly swollen and rubbery to the touch, but not usually tender. If the condition is left untreated, signs of hypothyroidism develop. [yourhormones.info]

[…] a visible goitre, which is firm and rubbery but is not usually tender. [labtestsonline.org.au]

Usually the swelling of the thyroid gland is noticed well before symptoms develop. Patients may feel tired and lethargic. Bowel movements slow down causing constipation. [yourhormones.info]

Thyroid Cyst

Pain and tenderness of the thyroid are most commonly caused by SAT but less frequently caused by haemorrhage into a thyroid cyst, primary or metastatic thyroid malignancy, [medical-dictionary.thefreedictionary.com]

With subacute thyroiditis, the thyroid may be tender or painful, and it may feel bumpy. [medicalnewstoday.com]

Congenital Non-Goitrous Hypothyroidism Type 4

She had no family history of thyroid disease. On examination the patient did not have a goitre, neck tenderness or features of Graves’ disease. [endocrine-abstracts.org]

Subacute thyroiditis Also referred to as granulomatous, giant cell or de Quervain's thyroiditis - a viral infection produces local symptoms and exquisite tenderness of the [patient.info]

Her thyroid function tests (TFTs) confirmed hyperthyroidism; TSH Discussion: Patients with central hypothyroidism can still present with thyroiditis or primary hyperthyroidism [endocrine-abstracts.org]

Primary Hypomagnesemia with Secondary Hypocalcemia

(DeQuervain’s, Granulomatous) • Acute viral infection of thyroid gland • Presents with viral prodrome, thyroid tenderness, and hyperthyroid symptoms • Lab values – Variable [studyslide.com]

(DeQuervain’s, Granulomatous) Acute viral infection of thyroid gland Presents with viral prodrome, thyroid tenderness, and hyperthyroid symptoms Lab values –Variable TSH, [slideplayer.com]

• Treatments – Medical – Propothyouracil, Methimazole, Propranolol – Surgical – Subtotal Thyroidectomy – Radiation – RAI ablation [I131(Ci/g) x weight / %RAIU] Subacute Thyroiditis [studyslide.com]

T3 Thyrotoxicosis

(usually associated with a tender painful thyroid) and silent thyroiditis (painless thyroid). [clinicaladvisor.com]

Abnormal thyroid Diffusely enlarged, possible bruit Graves disease Palpable nodules (or nodules on ultrasound) Toxic multinodular goiter Enlarged, tender thyroid Subacute [cdemcurriculum.com]

Thyroiditis is inflammation of the thyroid gland. Subacute thyroiditis follows a viral infection or pregnancy. The gland is painful and tender for several months. [dermnetnz.org]

Chronic Thyroiditis

Upon reexamination, the right lobe of her thyroid was nodular, hard, and tender. [kjim.org]

Physical examination revealed an enlarged and mildly tender thyroid gland. [edmcasereports.com]

7 The thyroid is firm, nodular and exquisitely tender to palpation. [aafp.org]

Nontoxic Multinodular Goiter

[…] of hyper- or hypothyroidism Pain or tenderness of the nodule Mobile, smooth, soft nodule Thyroid nodules are more common in women but men are more likely to have a cancerous [centralcarolinaent.com]

Subacute thyroiditis is characterized by neck pain and tenderness. [intechopen.com]

Nodules that are most likely benign include: Family history of autoimmune disease (e.g., Hashimoto’s thyroiditis) Family history of a benign thyroid nodule or goiter Presence [centralcarolinaent.com]

Thyrotoxic Heart Disease

thyroiditis Leakage of hormone from gland Increased None Tender Lymphocytic thyroiditis, postpartum thyroiditis, medication-induced thyroiditis Leakage of hormone from gland [aafp.org]

Thyroiditis is inflammation of the thyroid gland. Subacute thyroiditis follows a viral infection or pregnancy. The gland is painful and tender for several months. [dermnetnz.org]

The thyroid gland was non-tender and diffusely enlarged, measuring 5x5 cm per lobe. [asean-endocrinejournal.org]

Goiter

Diffuse thyroid tenderness suggests subacute thyroiditis, and local thyroid tenderness suggests intranodal hemorrhage or necrosis. [emedicine.medscape.com]

In people with subacute thyroiditis, the gland usually is painful and tender to the touch. [msdmanuals.com]

The patient with constitutional symptoms of inflammatory disease, history of a recent upper tract respiratory infection, and a tender or nontender enlarged thyroid gland may [pedsinreview.aappublications.org]

Thyrotoxic Crisis

Gland Neck fullness Tenderness over thyroid Diffuse enlargement Bruit Diagnosis Diagnosis is made based on clinical evaluation not serum testing Serum testing results are [coreem.net]

Abnormal thyroid Diffusely enlarged, possible bruit Graves disease Palpable nodules (or nodules on ultrasound) Toxic multinodular goiter Enlarged, tender thyroid Subacute [saem.org]

Other signs: excessive sweating, shortness of breath, abnormal tenderness with palpation of the thyroid gland, abnormal heart sounds, fever, tremor, and any of the clinical [physio-pedia.com]

Congenital Exophthalmos

Physical exam reveals a patient that is hyper-reflexive with a non-tender symmetrically enlarged thyroid gland. You order thyroid function tests for workup. [medbullets.com]

Acute thyroiditis may manifest with sudden onset of symptoms of hyperthyroidism, tenderness over the thyroid gland, and fever. [merckmanuals.com]

thyroid enlargement myxedema dermal accumulation of mucopolysaccharides non-pitting hyperreflexia Studies Diagnostic testing diagnostic approach screening for patients with [medbullets.com]

Hyperemesis

Fever Headache Enlarged thyroid gland (swelling in the front of the neck) Can nausea and vomiting of pregnancy affect my fetus? [acog.org]

[…] symptoms that do not usually occur with nausea and vomiting of pregnancy: Nausea and vomiting that occurs for the first time after 9 weeks of pregnancy Abdominal pain or tenderness [acog.org]

Thyroid Adenoma

Palpation : a small firm nodule in the right lobe while a tender, elastic large nodule in the left thyroid. [thyrosite.com]

It was non-tender, moved on deglutition, non-reducible and transillumination negative. The patient had normal thyroid functions with free T4 and TSH within normal range. [journalijar.com]

The Following Features Favor a Benign Thyroid Nodule: Family history of Hashimoto's thyroiditis Family history of benign thyroid nodule or goiter Symptoms of hyperthyroidism [endocrineweb.com]