Which of the following is not a feature of dequervan's disease?: (A) Autoimmune etiology, (B) Elevated levels of ESR, (C) Spontaneous regression, (D) Painful enlargement of thyroid
Answer is A. De quervains thyroiditis is not of autoimmune etiology. It occurs several weeks following a viral illness with a prodrome of generalized myalgia, pharyngitis, low grade fever and fatigue. Viruses involved in causing this includes mumps, coxsackie, influenza, adeno virus and echo virus. Ref: Ultrasound of the Thyroid and Parathyroid Glands By Robe A. Sofferman, Page 86; Acute Endocrinology: From Cause to Consequence By Greet Van Den Berghe, Page 10