{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T13:53:40Z","timestamp":1772891620208,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"766","license":[{"start":{"date-parts":[[1989,8,1]],"date-time":"1989-08-01T00:00:00Z","timestamp":617932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1989,8,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We describe an atypical case of subacute thyroiditis affecting a 50 year old patient with long lasting fever, weight loss, malaise and a high erythrocyte sedimentation rate. Cytological examination of the thyroid gland showed the classic granulomas with giant cells. However, the patient had neither painful enlargement of the gland nor thyrotoxicosis. This case, as well as others previously described, probably represents a new subtype of subacute thyroiditis, painless giant cell thyroiditis. The presence of painless giant cell thyroiditis should be considered in any patient with undiagnosed pyrexia, weight loss and elevated ESR.<\/jats:p>","DOI":"10.1136\/pgmj.65.766.580","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"580-581","source":"Crossref","is-referenced-by-count":4,"title":["Painless giant cell thyroiditis"],"prefix":"10.1093","volume":"65","author":[{"given":"I","family":"Piazza","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hospital of San Don\u00e0 di Piave (Ve) , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Girardi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital of San Don\u00e0 di Piave (Ve) , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1989,8,1]]},"reference":[{"issue":"2","key":"ref_1","first-page":"1","article-title":"Die akute, nich eiterige thyreoiditis und die beteiligung der schilddruse an akuten intoxicationen und infektionen uberhaupt","volume":"1904","author":"De Quervain, F.","unstructured":"De Quervain, F. Die akute, nich eiterige thyreoiditis und die beteiligung der schilddruse an akuten intoxicationen und infektionen uberhaupt. Mitt Grenzgeb Med Chir Suppl 1904, 2: 1.","journal-title":"Mitt Grenzgeb Med Chir Suppl"},{"key":"ref_2","first-page":"727","article-title":"Occult subacute thyroiditis with unusual features","volume":"ii:","author":"Stonebridge, P.A.","unstructured":"Stonebridge, P.A. Occult subacute thyroiditis with unusual features. Lancet 1985, ii: 727.","journal-title":"Lancet 1985"},{"issue":"146","key":"ref_3","first-page":"105","article-title":"Euthyroid atypical subacute thyroiditis simulating systemic or malignant disease","volume":"1986","author":"Rotemberg, Z.; Weinberger, I.; Fuchs, J.; Maller, S.; Agmon, J.","unstructured":"Rotemberg, Z., Weinberger, I., Fuchs, J., Maller, S. & Agmon, J. Euthyroid atypical subacute thyroiditis simulating systemic or malignant disease. Arch Int Med 1986, 146: 105-107.","journal-title":"Arch Int Med"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/0002-9343(86)90647-9","article-title":"Painless giant cell thyroiditis diagnosed by fine needle aspiration and associated with intense thyroidal uptake of gallium","volume":"80","author":"Sanders, L.R.; Moreno, A.J.; Pittman, D.L.; Jones, J.D.; Spicer, M.J.; Tracy, K.P.","year":"1986","unstructured":"Sanders, L.R., Moreno, A.J., Pittman, D.L., Jones, J.D., Spicer, M.J. & Tracy, K.P. Painless giant cell thyroiditis diagnosed by fine needle aspiration and associated with intense thyroidal uptake of gallium. Am J Med 1986, 80: 971-975.","journal-title":"Am J Med"},{"issue":"69","key":"ref_5","first-page":"1035","volume":"1985","author":"Woolf, P.D.","unstructured":"Woolf, P.D. Thyroiditis. Med Clin North Am 1985, 69: 1035-1048.","journal-title":"Thyroiditis. Med Clin North Am"},{"issue":"104","key":"ref_6","first-page":"219","article-title":"The various presentations of thyroiditis","volume":"1986","author":"Hamburger, J.I.","unstructured":"Hamburger, J.I. The various presentations of thyroiditis. Ann Intern Med 1986, 104: 219-224.","journal-title":"Ann Intern Med"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"440","DOI":"10.7326\/0003-4819-90-3-440","article-title":"Alkaline phosphatase and thyroiditis","volume":"90","author":"Fennel, J.S.","year":"1979","unstructured":"Fennel, J.S. Alkaline phosphatase and thyroiditis. Ann Intern Med 1979, 90: 440.","journal-title":"Ann Intern Med"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/65\/766\/580\/49244092\/postgradmedj-65-580.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/65\/766\/580\/49244092\/postgradmedj-65-580.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T18:02:28Z","timestamp":1681754548000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/65\/766\/580\/7044424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,8,1]]},"references-count":7,"journal-issue":{"issue":"766","published-online":{"date-parts":[[1989,8,1]]},"published-print":{"date-parts":[[1989,8,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.65.766.580","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1989,8]]},"published":{"date-parts":[[1989,8,1]]}}}