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The disease frequently produces goitrous myxedema in young women, and we have occasionally observed a goitrous and hypothyroid patient who went on to develop thyroid atrophy.Occasionally, patients with Hashimoto thyroiditis have persistent pain which is unresponsive to nonsteroidal anti-inflammatory drugs, replacement with thyroid hormone, and recurs after therapy with steroids

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doi:10.1055/s-0043-1768667

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