Pain! Sore throat, sore neck, sore ears, headache... Hangzhou Dabo's disease, everyone can get!

"Oh, doctor, you must help me.
", on November 9th, McDabo walked into the general consultation room of Jiang Hospital District of Zhejiang University with a sad face, and complained to the doctor before he sat down.
Originally, McDabo not long ago without warning appeared sore throat, neck pain, originally thought he might be cold, on a strong drink of boiled water want to press a pressure, but a few days past, he did not sneeze, nor runny nose, not like a cold, the pain is getting worse and worse.
", in addition to sore throats and necks, ears and heads began to ach.
" can no longer bear him to come to the hospital near home, the doctor considered may be pharyngitis, but laryngoscopy did not find abnormalities, taking into account the high C-reactive protein (inflammatory indicators), the disease was oral and intravenous anti-inflammatory treatment for several days, but Macdabo felt the situation did not ease, pain even sleep is affected.
Then, he went to another local hospital, the doctor let him go to neurology to see, in the outpatient round, toss a day without a so, he went directly to Zhejiang University Hospital Jiang Hospital District General Medicine Department.
, aren't you a general practitioner, must be very comprehensive, must cure me ah.
" in the River Hospital District General Clinic, the more he said the more emotional.
" uncle, you don't get excited first, we'll re-think your illness.
" listened to Mc Barber's autobiography, the general practitioner Qin Hongli comforted him, while beginning to consult in detail.
"Uncle, do you mean sore throats and sore necks, are you in pain in both places?" How's the pain? ""Yeah, is sometimes a sore throat, sometimes here is a pain, anyway, is a burst, not fixed, the whole neck is in pain.
"So, what about earaches?" Where's the pain in the ear? What's the pain? ""It hurts from the back of both ears, and the pain extends to the whole ear and scalp.
" sore throat, neck free pain, ear radiation pain, the body found that pharynx red, no pus, thyroid slightly sore, heart rate fast ... Dr. Qin's mind carefully combed the symptoms of Macdabo, and with his previous relevant examination one-to-one correspondence: blood image examination tips may be infected, laryngoscopy ruled out pharyngitis, need to further clarify whether the thyroid gland and lymph nodes are abnormal.
, considering the possibility of subacute thyroiditis is relatively large, he was given the relevant examination.
the final examination results confirmed the doctor's judgment: thyroid function test results FT3, FT4 high, TSH low, ESR high, thyroid B hyper-prompted inflammation may be, meditis diagnosis is clear.
Qin explained that according to medical history, symptoms, signs and laboratory examination, subacute thyroiditis is generally diagnosed without difficulties, but not typical cases are often prone to misdiagnosis, the domestic reported misdiagnosis rate of 12%-48%.
Mac barber neck pain, examination found thyroid pain, laboratory examination found rapid blood loss, thyroid toxicity, serum TGAb and TPOAb negative, B super-prompted inflammatory changes in the thyroid gland, in line with the diagnostic criteria for subacute thyroiditis.
after half a month of medication, McAlbo's pain symptoms have been significantly reduced, and the review indicators have basically returned to normal.
is subacute thyroiditis? Not only did Mac Barber not hear it, but the editor-in-chief heard it for the first time.
, but in fact, it is a clinically more common disease that affects middle-aged women between the ages of 40 and 50.
cause of subacute thyroiditis is not yet conclusive, but it is generally believed to be related to causes such as viral infections, regardless of whether the patient himself has thyroid-related diseases.
In the symptoms, neck wandering pain, especially radiation to the ear pain, is a typical manifestation of subacute thyroiditis, of course, there will be patients show swallowing pain, and therefore often some people will be with the general cold fever caused by sore throat or tonsillitis, sore throat, otitis media and other diseases confused, resulting in the wrong clinic, delay treatment.
Zhejiang University College of General Medicine Director Ren Wei, dr. Ren Wei, said that subacute thyroiditis often through medical history, physical examination, thyroid function examination, blood sinking and B-hyper-examination for diagnosis, in addition to the use of drugs, experts also recommend patients to strengthen rest, improve immunity, in the diet structure temporarily stop eating iodine-containing food.
Lei Xiaomon Source: Zhejiang University Copyright Notice: All text, images and audio and video materials that indicate "Source: Metz Medicine" or "Source: MedSci Original" are owned by Metz Medical, and are not authorized, and may not be reproduced by any media, website or individual, and shall be reproduced with the authorization of "Source: Mets Medicine".
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