It is difficult to study subacute thyroiditis epidemiologically since it occurs sporadically and infrequently.
Information about 1,127 cases (108 males, 1,019 females, from 1967 to 1982) of subacute thyroiditis in northern Japan was obtained through a questionnaire.
It was found that the usual age for the disease was forty, that females predominated in a ratio of 10.6 : 1, and that the prevalent month was July.
In clinical features, the frequencies of the inflammatory symptoms were high in the acute phase of the disease, and the frequencies of hyperthyroid symptoms increased with the progress of the disease.
According to the course of the disease (days after the onset without treatment), the patients were divided into seven subgroups, such as 1-7 days, 8-14 days, 15-21 days, 22-28 days, 29-42 days, 43-56 days and over 57 days, respectively.
Compared with the 1-7 days group, the erythrocyte sedimentation rate, serum T
4 and T
3 concentrations in the 15-21 days group showed a significant increase from 64 ± 35 to 75 ± 30 mm/h (p<0.001), 14.6 ± 5.5 to 17.6 ± 5.6 μg/100 ml (p<0.001) and 218± 124 to 263 ± 109 ng/100 ml (p<0.05), respectively, but the BMR showed as insignificant increase from 20 15 to 24 ± 14%.
The 24-hr
131I-thyroid uptake and resin sponge uptake (RSU) in the 21-28 days group were 1.2 ± 1.5% and 35.1 ± 6.7%, respectively; the former was significantly lower (p<0.02) and the latter was insignificantly higher than the values (2.0 ± 2.6% and 33.9 ± 7.9%, respectively) in the 1-7 days group.
The recovery time in the steroid-treated group was 57.2 ± 47.6 days, which showed a statistically insignificant difference from 64.8 ± 50.5 days of the sodium salycylate-treated group.
But the recovery time of 78.2 ± 64.9 days in other anti-inflammatory drug-treated groups was significantly longer than that of the steroid and sodium salycylate-treated groups (p<0.001 and p<0.05).
Among 9 viral diseases, such as measles, varicella, erythema infectiosum, hand-foot and mouth disease, rubella, mumps, influenza, epidemic keratoconjunctivitis and acute hemorrhagic conjunctivitis observed in northern Japan and Miyagi prefecture in the past 4 years, mumps, hand-foot and mouth disease and epidemic keratoconjunctivitis were pr-valent in summer.
The monthly variation of mumps infection seemed to be fairly correlated with that of subacute thyroiditis. But there was no significant difference between the antiviral antibody titers against viruses, such as mumps, rebella and measles, measured at the first medical examination or one month later in the patients with subacute thyroiditis.
Therefore, more direct serological and virological studies are needed to make clear the etiology of the disease.
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