Hashimoto's thyroiditis natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Natural History

The disease begins slowly. It may take months or even years for the condition to be detected. Chronic thyroiditis is most common in women and people with a family history of thyroid disease.

Complications

If untreated for an extended period, Hashimoto's thyroiditis may lead to

• Hypothyroidism
• Hyperthyroidism
• Heart failure.
• Hashimoto encephalopathy
• Thyroid lymphoma

Prognosis

The outcome is usually very good. The disease stays stable for years. If it does slowly progress to thyroid hormone deficiency (hypothyroidism), it can be treated with thyroid replacement therapy.