Hashimoto's thyroiditis: Difference between revisions
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Revision as of 15:56, 19 September 2012
| Hashimoto's thyroiditis | |
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| Histology | |
| ICD-10 | E06.3 |
| ICD-9 | 245.2 |
| OMIM | 140300 |
| DiseasesDB | 5649 |
| MeSH | D050031 |
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Hashimoto's thyroiditis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Hashimoto's thyroiditis On the Web |
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American Roentgen Ray Society Images of Hashimoto's thyroiditis |
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Risk calculators and risk factors for Hashimoto's thyroiditis |
For patient information click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Synonyms and Related Keywords: Chronic lymphocytic thyroiditis; autoimmune thyroiditis; struma lymphomatosa
Diagnosis
Symptoms
In many cases, Hashimoto's thyroiditis usually results in hypothyroidism, although in its acute phase, it can cause a transient hyperthyroidism thyrotoxic state known as hashitoxicosis.
- Adolescent goiter
- Alternating hypo- and hyperthyroidism
- Euthyroidism and goiter
- Hypothyroidism
- Painless thyroiditis or silent thyroiditis
- Postpartum painless thyrotoxicosis
- Primary thyroid failure
- Subclinical hypothyroidism and goiter
(In alphabetical order) [1]
- Cold intolerance
- Constipation
- Depression
- Difficulty concentrating or thinking
- Dry skin
- Enlarged neck or presence of goiter
- Fatigue
- Hair loss
- Heavy and irregular periods
- Hyperthyroidism symptoms
- Hypothyroidism symptoms
- Infertility
- Lethargy
- Mania
- Memory loss
- Migraines
- Myxedema
- Panic attacks
- Puffy face
- Small or shrunken thyroid gland (late in the disease)
- Weight gain
- Weight loss
Other symptoms that can occur with this disease:
- Joint stiffness
- Swelling of the face
Physical Examination
Appearance of the Patient
Vital Signs
Skin
Head
- Puffy face
Throat
- Enlarged neck or presence of goiter
- Small or shrunken thyroid gland (late in the disease
Neurologic
- Slowed speech
- Slowed reflexes
Treatment
Pharmacotherapy
Chronic Pharmacotherapies
Hypothyroidism caused by Hashimoto's Thyroiditis is treated with thyroid hormone replacement. A small pill taken once a day should be able to keep the thyroid hormone levels normal. This medicine will, in most cases, need to be taken for the rest of the patient's life.
Case Studies
Case#1
References
- ↑ Ladenson P, Kim M. Thyroid. In: Goldman L and Ausiello D, eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa:Saunders; 2007:chap 244.