Answer 2 de Quervain’s thyrotoxicosis. Subacute thyroiditis, also called de Quervain’s thyroiditis, is a painful condition of the thyroid gland. Frequently, there is a history of a prior viral upper respiratory infection. Clinical manifestations include the onset of tenderness in the neck and low-grade fever. On physical examination, the thyroid is enlarged, firm, and tender. Hyperthyroidism occurs early in the disease because of inflammatory destruction of the thyroid gland that leads to a release of preformed thyroid hormone. RAIU scan would show decreased uptake. The disease resolves spontaneously within 6 to 8 weeks of onset. Click here to return to the questions

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