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If your symptoms persist despite a normal result, further testing is advisable

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It includes pathologies that cause an acute illness with severe thyroid pain (e.g., subacute thyroiditis and infectious thyroiditis) as well as conditions in which there is no clinically evident inflammation and the manifestations primarily reflect thyroid dysfunction or a goiter (e.g., painless thyroiditis and fibrous Riedels thyroiditis)

doi: 10.1016/j.bbr.2009.01.002