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Juan Bass, MD, FRCSC; S. Muirhead, MD, FRCPC
From the Departments of Surgery (Dr Bass) and Pediatrics (Dr Muirhead), Children's Hospital of Eastern Ontario, Ottawa.

Arch Pediatr Adolesc Med. 2000;154:523-524.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A PREVIOUSLY healthy 15-year-old boy with a 7-day history of intermittent fever with temperatures up to 38.5°C, anorexia, nausea, irritability, persistent migraine headaches, and a 9.5-kg weight loss was seen in the emergency department complaining of left lateral neck pain. No discrete masses were palpable, and the thyroid and overlying skin felt normal. On day 9 symptoms persisted, and the left thyroid lobe was enlarged (4-cm long) and firm. A clinical diagnosis of subacute thyroiditis was made, and nonsteroidal anti-inflammatory drugs (NSAIDs) were prescribed pending results of thyroid function tests. Two days later he returned with a further 2.7-kg weight loss, dysphagia, positional dyspnea, and marked fatigue. The left thyroid lobe was hard, tender, and 6.5-cm long. The isthmus and the right lobe felt normal, and there was no cervical lymphadenopathy. Tracheal compression was present on chest radiograph, and ultrasonography was . . . [Full Text of this Article]

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