{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:58:10Z","timestamp":1783486690536,"version":"3.55.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,12,20]]},"abstract":"<jats:p>A 44-year-old woman, chronic smoker with Graves\u2019 disease was treated with radioactive iodine ablation (RAI). One week after the treatment, she presented with severe pain in the anterior neck with radiation to the angle of the jaw associated with fatigue, tremor and odynophagia. Physical examination demonstrated an asymmetric and exquisitely tender thyroid gland. There was no laboratory evidence of thyrotoxicosis. Acute radiation thyroiditis was diagnosed. Non-steroidal anti-inflammatory drugs and hydrocodone-acetaminophen started initially were ineffective for pain control. Prednisone provided relief and was continued for 1\u2005month with a tapering dose. Symptoms completely resolved after 1\u2005month at which time the thyroid remained diffusely enlarged and non-tender. Three months following RAI ablation she developed hypothyroid symptoms. Levothyroxine was initiated. The patient has remained asymptomatic on continued follow-up care.<\/jats:p>","DOI":"10.1136\/bcr-2014-207670","type":"journal-article","created":{"date-parts":[[2015,1,9]],"date-time":"2015-01-09T10:16:52Z","timestamp":1420798612000},"page":"bcr2014207670","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Painful acute radiation thyroiditis induced by <sup>131<\/sup>I treatment of Graves\u2019 disease"],"prefix":"10.1136","volume":"2015","author":[{"given":"Kinjal K","family":"Shah","sequence":"first","affiliation":[{"name":"Section of Endocrinology, Diabetes and Metabolism, VA Nebraska-Western Iowa Healthcare System, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Tarasova","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Creighton University Medical Center, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Davidian","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J","family":"Anderson","sequence":"additional","affiliation":[{"name":"Section of Endocrinology, Diabetes and Metabolism, VA Nebraska-Western Iowa Healthcare System, Omaha, Nebraska, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,1,9]]},"reference":[{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2014.0218"},{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2010.0417"},{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMct1007101"},{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.4","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1956.00250220013001"},{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.5","doi-asserted-by":"publisher","DOI":"10.4158\/EP10170.RA"},{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.6","doi-asserted-by":"publisher","DOI":"10.1210\/er.2012-1030"},{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.7","unstructured":"Braverman L , Utiger R . Werner & Ingbar's the thyroid: a fundamental and clinical text. 8th edn. Lippincott Williams & Wilkins. 2000:348."},{"key":"2025082800412870000_2015.jan09_1.bcr2014207670.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.2008.03276.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:41:39Z","timestamp":1756366899000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,9]]},"references-count":8,"alternative-id":["10.1136\/bcr-2014-207670"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207670","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,9]]}}}