患者,女,42岁,因颈部反复疼痛性包块1年余,畏寒、乏力、纳差、腹胀4月入院。查体:颈前右侧扪及2个胡豆大小疼痛性包块,血沉43mm/h,T_3 3.9nmol/L,T_4 210nmol/L,γT_3 1.23nmol/L,TSH<1mu/L,甲状腺吸~(131)I率2小时1％,6小时3.2％,24小时9.5％。初诊“亚甲炎”,给予强的松10mg每日3次,1周后包块及症状消失,药量逐渐减少,因停药反复发作4次,右侧颈部疼痛包块消失,但左侧包块又发生,故强的松量必 Patient, female, 42 years old, due to repeated neck pain more than 1 year, chills, fatigue, anorexia, abdominal distension in April admission. Physical examination: palpable masses of 2 beans and beans were seen on the right anterior cervical neck. The erythrocyte sedimentation rate was 43mm / h, the average value of T_3 was 3.9nmol / L, T_4 210nmol / L, γT_3 1.23nmol / L, TSH <1mu / 131) I rate 2 hours 1%, 6 hours 3.2%, 24 hours 9.5%. Newly diagnosed “methicillin”, given prednisone 10mg 3 times a day, 1 week after the mass and symptoms disappear, the dose gradually reduced due to repeated episodes of withdrawal four times, the right side of the neck pain mass disappeared, but the left Side mass occurs again, so the strong volume will be loose