Subacute lymphocytic thyroiditis: Difference between revisions
No edit summary |
No edit summary |
||
| Line 10: | Line 10: | ||
Subacute lymphocytic thyroiditis can only be diagnosed correctly by taking a [[radioactive iodine uptake test]] (RAIU) test.<ref name=afp/><ref name=raiu>[http://www.webmd.com/a-to-z-guides/radioactive-iodine-uptake-test Description of Radioactive Iodine Uptake Test, WebMD.com, August 14, 2008]</ref> |
Subacute lymphocytic thyroiditis can only be diagnosed correctly by taking a [[radioactive iodine uptake test]] (RAIU) test.<ref name=afp/><ref name=raiu>[http://www.webmd.com/a-to-z-guides/radioactive-iodine-uptake-test Description of Radioactive Iodine Uptake Test, WebMD.com, August 14, 2008]</ref> |
||
During the hyperthyroid |
During both the hyperthyroid and hypothyroid phases, radioiodine uptake is decreased.<ref name=nih>[http://www.nlm.nih.gov/MEDLINEPLUS/ency/article/000388.htm NIH Medline Plus]</ref> |
||
This situation contrasts greatly with the elevated iodine uptake found in patients with [[Graves' disease]].<ref name=afp/> |
This situation contrasts greatly with the elevated iodine uptake found in patients with [[Graves' disease]].<ref name=afp/> |
||
Revision as of 17:35, 22 February 2018
Subacute lymphocytic thyroiditis is a form of thyroiditis that is also known as silent thyroiditis or painless thyroiditis. Subacute lymphocytic thyroiditis may occur at any age and is more common in females.
A variant of subacute lymphocytic thyroiditis occurs postpartum, postpartum thyroiditis. Both of these entities can be considered subtypes of Hashimoto's thyroiditis and have an autoimmune basis. Anti-thyroid antibodies are common in all three and the underlying histology is similar. [1][2] This disorder should not be confused with de Quervain's thyroiditis which is another form of subacute thyroiditis.
Symptoms
Subacute lymphocytic thyroiditis features a small goiter without tenderness. This condition tends to have a phase of hyperthyroidism followed by a return to a euthyroid state, and then a phase of hypothyroidism, followed again by a return to the euthyroid state. The time span of each phase can vary; however, each phase usually lasts 2–3 months.[1]
Diagnosis
Subacute lymphocytic thyroiditis can only be diagnosed correctly by taking a radioactive iodine uptake test (RAIU) test.[1][3]
During both the hyperthyroid and hypothyroid phases, radioiodine uptake is decreased.[4]
This situation contrasts greatly with the elevated iodine uptake found in patients with Graves' disease.[1]
Treatment
Treatment is based on symptoms. Beta-blockers relieve rapid heart rate and excessive sweating during the hyperthyroid phase.[4]
References
This template is no longer used; please see Template:Endocrine pathology for a suitable replacement