We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

'Silent' Subacute Thyroiditis

Marhsall B. Block, MD
Arch Intern Med. 1978;138(6):1024-1025. doi:10.1001/archinte.1978.03630310098040.
Text Size: A A A
Published online


To the Editor.—  Morrison and Caplan's recent article in the January Archives (138:45-48, 1978), which concerned typical and atypical subacute thyroiditis, contains, in a concluding paragraph, the statement, "We emphasize that the disorder is benign and self-limited... and propranolol hydrochloride is the only treatment, if any, that is necessary."We would like to take exception to this statement for we have been observing a patient who fulfills the criteria of atypical silent subacute thyroiditis and who has remained hyperthyroid for over two years. Inasmuch as she has demonstrated the effects of continued unabated thyroid hormone secretion, we felt obligated to treat her and have used thiourea therapy. Peripheral thyroid hormone levels have returned to normal with this treatment. We therefore question whether conservative management of these patients, with propranolol therapy only, is indicated. Perhaps our patient is an unusual example of this condition, but patients have already been described who


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.