Silent thyroiditis natural history, complications and prognosis: Difference between revisions
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=== Natural history === | === Natural history === | ||
Silent thyroiditis | Silent thyroiditis presents as painless [[thyroid gland]] with symptoms of [[thyrotoxicosis]]. It further leads to an [[euthyroid]] phase and eventually [[Hypothyroidism|hypothyroid]] phase before the complete resolution of the [[disease]].<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref><ref name="pmid22443972">{{cite journal |vauthors=Samuels MH |title=Subacute, silent, and postpartum thyroiditis |journal=Med. Clin. North Am. |volume=96 |issue=2 |pages=223–33 |year=2012 |pmid=22443972 |doi=10.1016/j.mcna.2012.01.003 |url=}}</ref><ref name="pmid21278944">{{cite journal |vauthors=Walker P |title=Silent thyroiditis |journal=Can Fam Physician |volume=30 |issue= |pages=1337–9 |year=1984 |pmid=21278944 |pmc=2153523 |doi= |url=}}</ref><ref name="pmid7647209">{{cite journal |vauthors=Díez JJ |title=[Silent thyroiditis and postpartum thyroiditis] |language=Spanish; Castilian |journal=Aten Primaria |volume=16 |issue=3 |pages=147–50 |year=1995 |pmid=7647209 |doi= |url=}}</ref> | ||
==== | ==== Hyperthyroid stage ==== | ||
It follows the prodromal stage and includes the symptoms of [[thyrotoxicosis]] such as: | It follows the [[prodromal]] stage and includes the symptoms of [[thyrotoxicosis]] such as: | ||
*[[Tachycardia]] and [[Tremor|tremors]] | *[[Tachycardia]] and [[Tremor|tremors]] | ||
*[[Irritability]] and [[nervousness]] | *[[Irritability]] and [[nervousness]] | ||
==== | ==== Euthyroid stage ==== | ||
Thyrotoxic stage is followed by a 1–3-week period of [[Euthyroid|euthyroid phase]]. | Thyrotoxic stage is followed by a 1–3-week period of [[Euthyroid|euthyroid phase]]. | ||
==== | ==== Hypothyroid stage==== | ||
The transient hypothyroid stage lasts for 6-12 months. | The transient hypothyroid stage lasts for 6-12 months. | ||
*Rarely, the [[hypothyroid]] stage may persist for a longer duration. | *Rarely, the [[hypothyroid]] stage may persist for a longer duration. | ||
===Complications=== | === Complications === | ||
Complications that can develop as a result of silent thyroiditis | Complications that can develop as a result of silent thyroiditis include:<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref><ref name="pmid23214066">{{cite journal |vauthors=Noh JY |title=[Silent thyroiditis and subacute thyroiditis] |language=Japanese |journal=Nippon Rinsho |volume=70 |issue=11 |pages=1945–50 |year=2012 |pmid=23214066 |doi= |url=}}</ref><ref name="pmid7647209">{{cite journal |vauthors=Díez JJ |title=[Silent thyroiditis and postpartum thyroiditis] |language=Spanish; Castilian |journal=Aten Primaria |volume=16 |issue=3 |pages=147–50 |year=1995 |pmid=7647209 |doi= |url=}}</ref> | ||
*[[Hypothyroidism]] | *[[Hypothyroidism]] | ||
*[[Graves disease]] | *[[Graves disease]] | ||
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===Prognosis=== | ===Prognosis=== | ||
Prognosis of silent thyroiditis is usually good. | Prognosis of silent thyroiditis is usually good. | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Silent thyroiditis presents with the symptoms of thyrotoxicosis. It further leads to a euthyroid phase and eventually hypothyroid phase before the complete resolution of the disease. Complications may include hypothyroidism.
Natural history, complications, and prognosis
Natural history
Silent thyroiditis presents as painless thyroid gland with symptoms of thyrotoxicosis. It further leads to an euthyroid phase and eventually hypothyroid phase before the complete resolution of the disease.[1][2][3][4]
Hyperthyroid stage
It follows the prodromal stage and includes the symptoms of thyrotoxicosis such as:
- Tachycardia and tremors
- Irritability and nervousness
Euthyroid stage
Thyrotoxic stage is followed by a 1–3-week period of euthyroid phase.
Hypothyroid stage
The transient hypothyroid stage lasts for 6-12 months.
- Rarely, the hypothyroid stage may persist for a longer duration.
Complications
Complications that can develop as a result of silent thyroiditis include:[1][5][4]
Prognosis
Prognosis of silent thyroiditis is usually good.
References
- ↑ 1.0 1.1 "Thyroiditis — NEJM".
- ↑ Samuels MH (2012). "Subacute, silent, and postpartum thyroiditis". Med. Clin. North Am. 96 (2): 223–33. doi:10.1016/j.mcna.2012.01.003. PMID 22443972.
- ↑ Walker P (1984). "Silent thyroiditis". Can Fam Physician. 30: 1337–9. PMC 2153523. PMID 21278944.
- ↑ 4.0 4.1 Díez JJ (1995). "[Silent thyroiditis and postpartum thyroiditis]". Aten Primaria (in Spanish; Castilian). 16 (3): 147–50. PMID 7647209.
- ↑ Noh JY (2012). "[Silent thyroiditis and subacute thyroiditis]". Nippon Rinsho (in Japanese). 70 (11): 1945–50. PMID 23214066.