Evidence map›Paper›PMID 40317076›Full record

ArticleJournal of medical case reports2025

Subacute thyroiditis diagnostic challenges in clinical practice: a case report.

Payman Nasr, Sarah Turkel

Abstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. How to manage subacute thyroiditis.Drugs in context · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Payman NasrClinical Science Department, California State University, Dominguez Hills, Carson, CA, 90747, USA. pnasr@csudh.edu.ORCID http://orcid.org/0000-0001-9372-5366
Sarah TurkelClinical Science Department, California State University, Dominguez Hills, Carson, CA, 90747, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubacute thyroiditis is often misdiagnosed owing to its nonspecific symptoms, which can mimic other conditions. Accurate diagnosis relies heavily on thorough physical examination and careful interpretation of laboratory tests. CASE INFORMATION: A 53-year-old female of Iranian (Persian) ethnicity was initially misdiagnosed with sinusitis after presenting with persistent anterior neck pain, fever, and worsening fatigue. As her symptoms progressed, she was later diagnosed with pyelonephritis, further delaying the recognition of her underlying condition. After multiple visits, a comprehensive physical examination revealed peripheral vision loss and thyroid tenderness. Laboratory tests eventually confirmed subacute thyroiditis. The patient was treated with a 10-day course of prednisone, resulting in rapid symptom improvement.

conclusionThis case underscores the critical role of a comprehensive physical examination and strategic selection and interpretation of laboratory tests in accurately diagnosing subacute thyroiditis. Early recognition through thorough clinical assessment can help prevent diagnostic delays, unnecessary treatments, and prolonged patient symptoms.

Indexed as

Thyroiditis, SubacuteDiagnosis, DifferentialDiagnostic ErrorsFatigueFemaleFeverGlucocorticoidsHumansMiddle AgedNeck PainPrednisoneSinusitisTreatment OutcomeGlucocorticoidsPrednisoneCase reportDiagnostic errorsHyperthyroidismPhysical examinationSubacute thyroiditis

Identifiers

PMID40317076
PMCPMC12046936

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.