亚急性甲状腺炎临床易误诊,现报道二例。例1 女患,50岁,于住院前2月始每天夜间寒战发热,体温39℃左右,持续4～5小时退至正常,伴出汗、颈前部痛、疲乏、纳差。在当地用多种抗生素治疗无效。查体:血压14.6/9.3kPa,消瘦状,浅表淋巴结无肿大,双侧甲状腺肿大有多个结节,质硬,触痛,心肺(-),肝脾(-)。血常规化验正常;CT示双侧甲状腺轻度肿大、炎性病变;甲状腺摄~(131)碘率低,血清T_3、T_4增高;甲状腺穿刺活检有多量炎性细胞、组织细胞和吞有胶性颗粒的巨细胞形成。诊为亚急性甲状腺炎,用强的松10mg,每日3次,2日后热退,7天后甲 Subacute thyroiditis clinical misdiagnosis, are reported in two cases. Example 1 female patient, 50 years old, 2 nights before hospitalization chills every night at night fever, body temperature about 39 ℃, 4 to 5 hours back to normal, with sweating, neck pain, fatigue, anorexia. In the local treatment with a variety of antibiotics ineffective. Physical examination: blood pressure 14.6 / 9.3kPa, emaciated, superficial lymph nodes without swelling, bilateral multiple goiter nodules, hard, tenderness, heart and lung (-), liver and spleen (-). Blood tests were normal; CT showed mild bilateral enlargement of the thyroid gland, inflammatory lesions; 131I low thyroid uptake, serum T_3, T_4 increased; thyroid needle biopsy a large number of inflammatory cells, tissue cells and swallow gum Giant cells of the formation of giant cells. The diagnosis of subacute thyroiditis, with prednisone 10mg, 3 times a day, 2 days after the heat back, 7 days after a