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To the Editor.
—In an editorial entitled "The Rationale for Treatment of Lymphocytic Thyroiditis With Spontaneously Resolving Hyperthyroidism: Prednisone Therapy v Chicken Soup," published in the December 1982 Archives (142:2261-2262), Dorfman et al commented that "all cases of spontaneously resolving hyperthyroidism (SRH) can be diagnosed without a thyroid biopsy." They went on to state that the combination of hyperthyroidism with a decreased radioactive iodine uptake under special circumstances was clinically diagnostic of SRH and that the thyroid biopsy was unnecessary. That such a complex organ such as the thyroid can be reduced to such well-intentioned, but simplistic, thinking is debatable. Nevertheless, under such circumstances, why resist the thyroid biopsy?Fine needle-aspiration cytology has proved incredibly simple, uncomplicated, and cost-effective. Using a 25-gauge needle, we perform this procedure on an outpatient basis, usually requiring only 15 to 20 minutes. Lymphocytic thyroiditis or thyroid tumors and neoplasms can be interpreted and classified
Compagno J. Treating Lymphocytic Thyroiditis With Spontaneously Resolving Hyperthyroidism. Arch Intern Med. 1983;143(4):844. doi:10.1001/archinte.1983.00350040234047