Case Report

Autoimmune Thyroiditis Manifested as a Systemic Febrile Illness Diagnosis by Gallium Scan and Fine Needle Aspiration Biopsy

Authors: ROBERT P. CASTELLUCCI MD, DAVID F. GARDNER MD, HALCOTT T. HADEN MD, ROBERT A. ADLER MD

Abstract

THYROIDAL UPTAKE of gallium citrate Ga 67 has been reported in patients undergoing investigations for systemic, febrile illness.1,4 We report the case of a patient in whom a gallium scan was done to delineate an apparently intra-abdominal source of fever. Localization of the isotope in the thyroid suggested thyroiditis, which was confirmed by fine needle aspiration biopsy. Although the patients illness resembled subacute thyroiditis, biopsy findings and high antithyroid antibody titers were more compatible with the diagnosis of autoimmune thyroiditis.

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References