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March 1984

Thyrotoxic Lymphocytic Thyroiditis

Author Affiliations

Galveston, Tex

Arch Intern Med. 1984;144(3):657. doi:10.1001/archinte.1984.00350150271060

To the Editor.  —I find it amazing that in his review article entitled "Current Concepts of Thyroiditis," Levine1 chose to ignore the article originally published by my colleagues and me describing and characterizing "painless thyroiditis" as a separate and distinct disorder.2 Included, however, was a reference to an article in which the authors misdiagnosed the syndrome as subacute thyroiditis (Levine's reference 33).Furthermore, Levine states that "lymphocytic thyroiditis with spontaneously resolving hyperthyroidism" most accurately describes the condition, but he is in error there. The patients had thyrotoxicosis but not hyperthyroidism (the thyroid gland is not an overproducing hormone), as shown in the original article. The most accurate descriptor is probably the original one, but for the sake of usage, the term thyrotoxic lymphocytic thyroiditis (TLT) is probably best. Since my colleagues and I first characterized the condition, I believe we ought to have some say in what it

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