Severe Paresthesia as a Rare Presenting Symptom of Subacute Thyroiditis

• Katayama Kohta

  Department of Medicine, Mito Kyodo General Hospital

• Tokuda Yasuharu

  Department of Medicine, Japan Community Healthcare Organization (JCHO) Tokyo Joto Hospital

抄録

In this case report, we describe a male patient with subacute thyroiditis with severe paresthesia in a glove-and-stocking type distribution and thyroid gland tenderness but with minimal symptoms of hyperthyroidism. His paresthesia improved and then disappeared within several days after low dose oral prednisolone was initiated. As possible mechanisms for his severe paresthesia, we propose the following: 1) thyrotoxic effect on the peripheral nerves, and 2) generalized inflammatory effect on the peripheral nerves akin to that in the thyroid gland. Subacute thyroiditis may need to be considered as one of differential diagnoses for severe paresthesia.

収録刊行物

• Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ

  Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ 16 (1), 26-28, 2015

  一般社団法人 日本プライマリ・ケア連合学会

キーワード

• subacute thyroiditis
• paresthesia
• polyneuropathy
• thyrotoxicosis
• corticosteroid therapy

詳細情報

• CRID: 1390282680165877760
• NII論文ID: 130005130307
• DOI: 10.14442/general.16.26
• ISSN: 18836011
• ISSN: 13460072
• Web Site: https://search.jamas.or.jp/link/ui/2016174972
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可