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 Thyroiditis

Junichi Tajiri, MD; Masaomi Nakashima, MD; Kiichiro Higashi, MD; Mitsuo Morita, MD; Teruhisa Umeda, MD; Tasuo Sato, MD
Arch Intern Med. 1986;146(8):1644. doi:10.1001/archinte.1986.00360200224056.
Text Size: A A A
Published online


To the Editor.  —Recently, frequency of silent thyroiditis (lymphocytic thyroidits with spontaneously resolving hyperthyroidism) has been much debated in the United States. Nikolai et al1 found the disorder in 10% to 20% of their cases of hyperthyroidism. However, in a recent report in the Archives, Vitug and Goldman2 reported that there was only one case that fulfilled the criteria for diagnosis in a three-year review of 86 patients with hyperthyroidism encountered in their hospital. They pointed out that most of the reported cases were from Japan and the areas around the Great Lakes, especially in Michigan, Minnesota, Wisconsin, and Ontario.We report on the incidence of silent thyroiditis among patients with hyperthyroidism in the Kumamoto area of Japan. Fifty-six patients with thyrotoxicosis were seen in our clinic from January 1984 to October 1985. From January 1984, radioactive iodine uptake was carried out for all patients with thyrotoxicosis. Among


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.