Differentiating Hashimoto's thyroiditis from other diseases: Difference between revisions
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==Overview== | ==Overview== | ||
Hashimoto's thyroiditis must be differentiated from other causes of thyroiditis, such as | [[Hashimoto's thyroiditis]] must be differentiated from other causes of [[thyroiditis]], such as [[De Quervain's thyroiditis]], [[Riedel's thyroiditis]], and suppurative thyroiditis. | ||
==Differentiating Hashimoto's Thyroiditis from other Diseases== | ==Differentiating Hashimoto's Thyroiditis from other Diseases== | ||
*Hashimoto's thyroiditis must be differentiated from other causes of thyroiditis, such as | *[[Hashimoto's thyroiditis]] must be differentiated from other causes of [[thyroiditis]], such as [[De Quervain's thyroiditis]], [[Riedel's thyroiditis]], and suppurative thyroiditis.<ref name="urlThyroiditis — NEJM">{{cite web |url=http://www.nejm.org/doi/full/10.1056/NEJMra021194 |title=Thyroiditis — NEJM |format= |work= |accessdate=}}</ref> | ||
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{| align="center" | {| align="center" | ||
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{| style="border: 0px; font-size: 90%; margin: 3px;" align="center" | {| style="border: 0px; font-size: 90%; margin: 3px;" align="center" | ||
! style="background:#4479BA; color: #FFFFFF;" | Conditions | ! style="background:#4479BA; color: #FFFFFF;" | Conditions | ||
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*Fibrosis (in some variants) | *Fibrosis (in some variants) | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Increased TSH (hypothyroidism) | *[[Thyroid function tests|Increased TSH]] (hypothyroidism) | ||
*TPO antibodies present in high titer | *[[Thyroid peroxidase|TPO antibodies]] present in high titer | ||
* | *[[I-123 thyroid imaging|I-123]] uptake usually decreased | ||
|- | |- | ||
|- | |- | ||
| align="center" style="background:#DCDCDC;" |[[Painful subacute ( | | align="center" style="background:#DCDCDC;" |[[De Quervain's thyroiditis|Painful subacute (De Quervain's) thyroiditis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Unknown | *Unknown | ||
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*Granulomas | *Granulomas | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Increased TSH (hypothyroidism) and/or | *[[Thyroid function tests|Increased TSH]] (hypothyroidism) and/or | ||
* Decreased TSH (Thyrotoxicosis) | * [[Thyroid function tests|Decreased TSH]] (Thyrotoxicosis) | ||
*TPO antibodies absent or very low titer | *[[Thyroid peroxidase|TPO antibodies]] absent or very low titer | ||
*I-123 uptake decreased | *[[I-123 thyroid imaging|I-123]] uptake decreased | ||
|- | |- | ||
| align="center" style="background:#DCDCDC;" |[[ | | align="center" style="background:#DCDCDC;" |[[Riedel's thyroiditis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Unknown | *Unknown | ||
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*Dense fibrosis | *Dense fibrosis | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Normal TSH (euthyroidism) | *[[Thyroid function tests|Normal TSH]] (euthyroidism) | ||
*TPO antibodies present | *[[Thyroid peroxidase|TPO antibodies]] present | ||
*I-123 uptake decreased or normal | *[[I-123 thyroid imaging|I-123]] uptake decreased or normal | ||
|- | |- | ||
| align="center" style="background:#DCDCDC;" |[[Suppurative thyroiditis]] | | align="center" style="background:#DCDCDC;" |[[Suppurative thyroiditis]] | ||
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*Abscess formation | *Abscess formation | ||
| style="padding: 5px 5px; background: #F5F5F5;" align="left" | | | style="padding: 5px 5px; background: #F5F5F5;" align="left" | | ||
*Normal TSH (euthyroidism) | *[[Thyroid function tests|Normal TSH]] (euthyroidism) | ||
*TPO antibodies absent | *[[Thyroid peroxidase|TPO antibodies]] absent | ||
*I-123 uptake normal | *[[I-123 thyroid imaging|I-123]] uptake normal | ||
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Revision as of 14:48, 21 July 2017
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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
Hashimoto's thyroiditis must be differentiated from other causes of thyroiditis, such as De Quervain's thyroiditis, Riedel's thyroiditis, and suppurative thyroiditis.
Differentiating Hashimoto's Thyroiditis from other Diseases
- Hashimoto's thyroiditis must be differentiated from other causes of thyroiditis, such as De Quervain's thyroiditis, Riedel's thyroiditis, and suppurative thyroiditis.[1]
| Conditions | Causes | Age at onset | Pathological findings | Diagnostic approach |
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| Hashimoto's thyroiditis |
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| Painful subacute (De Quervain's) thyroiditis |
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| Riedel's thyroiditis |
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| Suppurative thyroiditis |
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