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==Differentiating Hashimoto's Thyroiditis from other Diseases==
==Differentiating Hashimoto's Thyroiditis from other Diseases==
*[[Lymphoma]] and [[depression]] may present similarly to Hashimoto's thyroiditis.
*[[Lymphoma]] and [[depression]] may present similarly to Hashimoto's thyroiditis.
<br>
{| align="center"
|-
|
{| style="border: 0px; font-size: 90%; margin: 3px;" align="center"
! style="background:#4479BA; color: #FFFFFF;" | Conditions
! style="background:#4479BA; color: #FFFFFF;" |Causes
! style="background:#4479BA; color: #FFFFFF;" |Age at onset
! style="background:#4479BA; color: #FFFFFF;" |Pathological findings
! style="background:#4479BA; color: #FFFFFF;" |Diagnostic approach   
|-
| align="center" style="background:#DCDCDC;" |[[Hashimoto's thyroiditis]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Autoimmune
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*All ages, peak at 30-50
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Lymphocytic infiltration
*Germinal centers
*Fibrosis (in some variants)
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Increased TSH (hypothyroidism)
*Thyroid peroxidase antibodies positive
*Usually decreased I-123 uptake
|-
|-
| align="center" style="background:#DCDCDC;" |[[Painful subacute thyroiditis]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Unknown
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*20-60
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Giant cells
*Granulomas
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Increased TSH (hypothyroidism) and/or
* Decreased TSH (Thyrotoxicosis)
|-
| align="center" style="background:#DCDCDC;" |[[Suppurative thyroiditis]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Infection
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Children, 20-40
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Abscess formation
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Normal TSH (euthyroidism)
|-
| align="center" style="background:#DCDCDC;" |[[Suppurative thyroiditis]]
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Infection
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Children, 20-40
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Abscess formation
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Normal TSH (euthyroidism)


==References==
==References==

Revision as of 13:24, 21 July 2017

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Overview

Differentiating Hashimoto's Thyroiditis from other Diseases


Conditions Causes Age at onset Pathological findings Diagnostic approach
Hashimoto's thyroiditis
  • Autoimmune
  • All ages, peak at 30-50
  • Lymphocytic infiltration
  • Germinal centers
  • Fibrosis (in some variants)
  • Increased TSH (hypothyroidism)
  • Thyroid peroxidase antibodies positive
  • Usually decreased I-123 uptake
Painful subacute thyroiditis
  • Unknown
  • 20-60
  • Giant cells
  • Granulomas
  • Increased TSH (hypothyroidism) and/or
  • Decreased TSH (Thyrotoxicosis)
Suppurative thyroiditis
  • Infection
  • Children, 20-40
  • Abscess formation
  • Normal TSH (euthyroidism)
Suppurative thyroiditis
  • Infection
  • Children, 20-40
  • Abscess formation
  • Normal TSH (euthyroidism)

References

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