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Thyrotoxic Lymphocytic Thyroiditis-Reply

Steven N. Levine, MD
Arch Intern Med. 1984;144(3):657. doi:10.1001/archinte.1984.00350150271061.
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In Reply.  —Dr Nusynowitz expresses his amazement that my recent review of thyroiditis failed to reference an article he coauthored in 1975. My review was not an attempt to provide an exhaustive, historic perspective. Almost all of the references on painless thyroiditis were from 1980 or later.Dr Nusynowitz also comments that the authors of reference 33 in my review mistakenly considered their patients with painless thyroiditis to have a variant of subacute thyroiditis. In contrast, Dr Nusynowitz, in his report, concluded that the patients had a variant of Hashimoto's thyroiditis. Both interpretations, although quite reasonable based on the information available in 1975, would raise considerable controversy in 1983.More than a dozen terms have been used to describe the condition of transient thyrotoxicosis associated with a low radioactive iodine uptake and lymphocytic infiltration. I prefer painless thyroiditis, since the term is commonly employed (including in the sixth edition of


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