Appropriate diagnosis and clinical management of patients with acute suppurative thyroiditis, an endocrine emergency, presents a major challenge, with no consensus guidelines currently available. Could the novel algorithm proposed by John Paes and colleagues provide a solution?
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References
Paes, J. E. et al. Acute bacterial suppurative thyroiditis: A clinical review and expert opinion. Thyroid 20, 247–255 (2010).
Takai, S. I., Miyauchi, A., Matsuzuka, F., Kuma, K. & Kosaki, G. Internal fistula as a route of infection in acute suppurative thyroiditis. Lancet 1, 751–752 (1979).
Miyauchi, A., Matsuzuka, F., Kuma, K. & Takai, S. Piriform sinus fistula: an underlying abnormality common in patients with acute suppurative thyroiditis. World J. Surg. 14, 400–405 (1990).
Miyauchi, A., Matsuzuka, F., Kuma, K. & Katayama, S. Piriform sinus fistula and the ultimobranchial body. Histopathology 20, 221–227 (1992).
Jordan, J. A., Graves, J. E., Manning, S. C., McClay, J. E. & Biavati, M. J. Endoscopic cauterization for treatment of fourth branchial cleft sinuses. Arch. Otolaryngol. Head Neck Surg. 124, 1021–1024 (1998).
Kim, K. H., Sung, M. W., Koh, T. Y., Oh, S. H. & Kim, I. S. Pyriform sinus fistula: management with chemocauterization of the internal opening. Ann. Otol. Rhinol. Laryngol. 109, 452–456 (2000).
Smith, S. L. & Pereira, K. D. Suppurative thyroiditis in children: a management algorithm. Pediatr. Emerg. Care 24, 764–767 (2008).
Miyauchi, A., Inoue, H., Tomoda, C. & Amino, N. Evaluation of chemocauterization treatment for obliteration of pyriform sinus fistula as a route of infection causing acute suppurative thyroiditis. Thyroid 19, 789–793 (2009).
Nishihara, E. et al. Acute suppurative thyroiditis after fine-needle aspiration causing thyrotoxicosis. Thyroid 15, 1183–1187 (2005).
Fukata, S., Miyauchi, A., Kuma, K. & Sugawara, M. Acute suppurative thyroiditis caused by an infected piriform sinus fistula with thyrotoxicosis. Thyroid 12, 175–178 (2002).
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Miyauchi, A. A new management algorithm for acute suppurative thyroiditis?. Nat Rev Endocrinol 6, 424–426 (2010). https://doi.org/10.1038/nrendo.2010.84
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DOI: https://doi.org/10.1038/nrendo.2010.84
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