Hashimoto's thyroiditis natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
Complications that can develop as a result of Hashimoto's thyroiditis are:<ref name="pmid24434360">{{cite journal |vauthors=Caturegli P, De Remigis A, Rose NR |title=Hashimoto thyroiditis: clinical and diagnostic criteria |journal=Autoimmun Rev |volume=13 |issue=4-5 |pages=391–7 |year=2014 |pmid=24434360 |doi=10.1016/j.autrev.2014.01.007 |url=}}</ref><ref name="pmid25027262">{{cite journal |vauthors=Kirshner HS |title=Hashimoto's encephalopathy: a brief review |journal=Curr Neurol Neurosci Rep |volume=14 |issue=9 |pages=476 |year=2014 |pmid=25027262 |doi=10.1007/s11910-014-0476-2 |url=}}</ref><ref name="pmid23300224">{{cite journal |vauthors=Lun Y, Wu X, Xia Q, Han Y, Zhang X, Liu Z, Wang F, Duan Z, Xin S, Zhang J |title=Hashimoto's thyroiditis as a risk factor of papillary thyroid cancer may improve cancer prognosis |journal=Otolaryngol Head Neck Surg |volume=148 |issue=3 |pages=396–402 |year=2013 |pmid=23300224 |doi=10.1177/0194599812472426 |url=}}</ref> | Complications that can develop as a result of Hashimoto's thyroiditis are:<ref name="pmid24434360">{{cite journal |vauthors=Caturegli P, De Remigis A, Rose NR |title=Hashimoto thyroiditis: clinical and diagnostic criteria |journal=Autoimmun Rev |volume=13 |issue=4-5 |pages=391–7 |year=2014 |pmid=24434360 |doi=10.1016/j.autrev.2014.01.007 |url=}}</ref><ref name="pmid25027262">{{cite journal |vauthors=Kirshner HS |title=Hashimoto's encephalopathy: a brief review |journal=Curr Neurol Neurosci Rep |volume=14 |issue=9 |pages=476 |year=2014 |pmid=25027262 |doi=10.1007/s11910-014-0476-2 |url=}}</ref><ref name="pmid23300224">{{cite journal |vauthors=Lun Y, Wu X, Xia Q, Han Y, Zhang X, Liu Z, Wang F, Duan Z, Xin S, Zhang J |title=Hashimoto's thyroiditis as a risk factor of papillary thyroid cancer may improve cancer prognosis |journal=Otolaryngol Head Neck Surg |volume=148 |issue=3 |pages=396–402 |year=2013 |pmid=23300224 |doi=10.1177/0194599812472426 |url=}}</ref><ref name="pmid22498583">{{cite journal |vauthors=Ahmed R, Al-Shaikh S, Akhtar M |title=Hashimoto thyroiditis: a century later |journal=Adv Anat Pathol |volume=19 |issue=3 |pages=181–6 |year=2012 |pmid=22498583 |doi=10.1097/PAP.0b013e3182534868 |url=}}</ref> | ||
*Hypothyroidism | *Hypothyroidism | ||
*Hyperthyroidism | *Hyperthyroidism | ||
Revision as of 17:24, 20 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 usually begins slowly and may progress to hypothyroidism. Complications include heart failure, lymphoma, and encephalopathy.
Natural History
The disease begins slowly. It may take months or even years for the condition to be detected. If untreated Hashimoto's thyroiditis may lead to muscle failure including heart failure and other features associated with hypothyroidism.[1]
Complications
Complications that can develop as a result of Hashimoto's thyroiditis are:[1][2][3][4]
- Hypothyroidism
- Hyperthyroidism
- Heart failure
- Myxedema coma
- Tracheal and/or esophageal compression
- Hashimoto encephalopathy
- Papillary thyroid carcinoma (PTC)
- 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.
References
- ↑ 1.0 1.1 Caturegli P, De Remigis A, Rose NR (2014). "Hashimoto thyroiditis: clinical and diagnostic criteria". Autoimmun Rev. 13 (4–5): 391–7. doi:10.1016/j.autrev.2014.01.007. PMID 24434360.
- ↑ Kirshner HS (2014). "Hashimoto's encephalopathy: a brief review". Curr Neurol Neurosci Rep. 14 (9): 476. doi:10.1007/s11910-014-0476-2. PMID 25027262.
- ↑ Lun Y, Wu X, Xia Q, Han Y, Zhang X, Liu Z, Wang F, Duan Z, Xin S, Zhang J (2013). "Hashimoto's thyroiditis as a risk factor of papillary thyroid cancer may improve cancer prognosis". Otolaryngol Head Neck Surg. 148 (3): 396–402. doi:10.1177/0194599812472426. PMID 23300224.
- ↑ Ahmed R, Al-Shaikh S, Akhtar M (2012). "Hashimoto thyroiditis: a century later". Adv Anat Pathol. 19 (3): 181–6. doi:10.1097/PAP.0b013e3182534868. PMID 22498583.