Esophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report

Subacute thyroiditis (SAT) is one of the most common causes of thyrotoxicosis. Thyroid scans with radioiodine or technetium-99m pertechnetate (99mTc) are often performed in the workup of patients with thyrotoxicosis, particularly to differentiate between SAT and Graves’s disease. Although very helpf...

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Autores principales: Ahmad M Naser, Ayman A Zayed, Abdullah N Alhouri, Malik E Juweid
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Lenguaje:EN
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020
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Acceso en línea:https://doaj.org/article/a165419266fc4e37aa318ca1bba42fca
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spelling oai:doaj.org-article:a165419266fc4e37aa318ca1bba42fca2021-12-02T15:06:48ZEsophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report2231-07702249-446410.4103/ajm.ajm_216_19https://doaj.org/article/a165419266fc4e37aa318ca1bba42fca2020-07-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_216_19https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Subacute thyroiditis (SAT) is one of the most common causes of thyrotoxicosis. Thyroid scans with radioiodine or technetium-99m pertechnetate (99mTc) are often performed in the workup of patients with thyrotoxicosis, particularly to differentiate between SAT and Graves’s disease. Although very helpful, thyroid scans are prone to pitfalls that may occasionally lead to misdiagnosis. These pitfalls are largely related to physiologic uptake of radioiodine or 99mTc in non-thyroidal tissue, such as salivary gland and stomach that may result in false-positive findings. We present herein a very rare case of SAT misdiagnosed as an autonomous thyroid adenoma most likely due to focal 99mTc uptake in the esophagus. This case may have implications for the management of patients with suspected SAT, who undergo a radioiodine or 99mTc thyroid scan.Ahmad M NaserAyman A ZayedAbdullah N AlhouriMalik E JuweidThieme Medical and Scientific Publishers Pvt. Ltd.articleautonomous thyroid adenomaesophageal 99 mtc uptakehyperthyroidismsubacute thyroiditistechnetium-99m pertechnetate thyroid scanthyrotoxicosisMedicineRENAvicenna Journal of Medicine, Vol 10, Iss 03, Pp 125-127 (2020)
institution DOAJ
collection DOAJ
language EN
topic autonomous thyroid adenoma
esophageal 99 mtc uptake
hyperthyroidism
subacute thyroiditis
technetium-99m pertechnetate thyroid scan
thyrotoxicosis
Medicine
R
spellingShingle autonomous thyroid adenoma
esophageal 99 mtc uptake
hyperthyroidism
subacute thyroiditis
technetium-99m pertechnetate thyroid scan
thyrotoxicosis
Medicine
R
Ahmad M Naser
Ayman A Zayed
Abdullah N Alhouri
Malik E Juweid
Esophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report
description Subacute thyroiditis (SAT) is one of the most common causes of thyrotoxicosis. Thyroid scans with radioiodine or technetium-99m pertechnetate (99mTc) are often performed in the workup of patients with thyrotoxicosis, particularly to differentiate between SAT and Graves’s disease. Although very helpful, thyroid scans are prone to pitfalls that may occasionally lead to misdiagnosis. These pitfalls are largely related to physiologic uptake of radioiodine or 99mTc in non-thyroidal tissue, such as salivary gland and stomach that may result in false-positive findings. We present herein a very rare case of SAT misdiagnosed as an autonomous thyroid adenoma most likely due to focal 99mTc uptake in the esophagus. This case may have implications for the management of patients with suspected SAT, who undergo a radioiodine or 99mTc thyroid scan.
format article
author Ahmad M Naser
Ayman A Zayed
Abdullah N Alhouri
Malik E Juweid
author_facet Ahmad M Naser
Ayman A Zayed
Abdullah N Alhouri
Malik E Juweid
author_sort Ahmad M Naser
title Esophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report
title_short Esophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report
title_full Esophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report
title_fullStr Esophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report
title_full_unstemmed Esophageal 99mTc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report
title_sort esophageal 99mtc-pertechnetate uptake mimicking an autonomous thyroid adenoma in a patient with subacute thyroiditis: a case report
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2020
url https://doaj.org/article/a165419266fc4e37aa318ca1bba42fca
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