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Patient with hyperthyroidism, suppressed TSH, and low radioiodine uptake, contender and no goiter:

a) Subacute thyroiditis
b) Graves' disease
c) Toxic multinodular goiter (Plummer's disease)
d) Thyroiditis

1 Answer

3 votes

Final answer:

The patient's symptoms and diagnostic results are consistent with subacute thyroiditis, which involves a transient hyperthyroid phase following a viral infection, with inflammation leading to the release of thyroid hormones.

Step-by-step explanation:

The patient described has hyperthyroidism, with a suppressed Thyroid-Stimulating Hormone (TSH) and a low radioiodine uptake, suggests a condition where there is already an excess amount of thyroid hormone suppressing TSH production, and the thyroid is not taking up iodine because it is not actively producing new hormone. This presentation is consistent with the characteristics of subacute thyroiditis. Subacute thyroiditis typically follows a viral infection and is characterized by the leakage of preformed thyroid hormones into the circulation, resulting in a transient hyperthyroid phase with low radioiodine uptake since the gland is inflamed rather than hyperactive. Unlike Graves' disease, subacute thyroiditis rarely causes goiter or ophthalmopathy. Toxic multinodular goiter would show increased radioiodine uptake in the nodules, and Hashimoto's thyroiditis typically presents with hypothyroid symptoms unless it is the initial transient hyperthyroid phase.

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