BOF 108

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BOF: 108

A 40 year old female presents with a complaint pain in her throat on swallowing of 2 weeks duration. She also complained of a low grade fever. Her GP had treated her with a course of antibiotics but this had not relieved the symptoms. There was no history of foreign body ingestion, cough, haemoptysis or change in voice. On examination she was febrile, speech was normal; pulse was 136/min. Examination of the throat did not reveal any abnormality. The thyroid gland was diffusely enlarged and tender.

Investigations

T₃ 6.4 nmol/L

T₄ 275 nmol/L

TSH 0.2 mU/L

In this patient the most likely diagnosis is:

a)       Hashimoto’s thyroiditis

b)       de Quervain’s thyroiditis

c)       Reidl’s thyroiditis

d)       Grave’s disease

e)       Toxic nodular goitre

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