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Classification
Thyroiditis is a group of disorders that all cause
thyroidal inflammation.
Forms of the disease are:
Hashimoto's thyroiditis,
Subacute thyroiditis,
Postpartum thyroiditis,
Drug-induced thyroiditis,
Radiation-induced thyroiditis
De Quervain’s thyroiditis
Riedel’s thyroiditis
Acute thyroiditis.
Each different type has its own:
• causes,
• clinical features,
• duration,
• resolution,
• risks.
Symptoms
Common hypothyroid symptoms manifest when thyroid cell damage
is slow and chronic, and may include:
fatigue, weight gain, feeling "fuzzy headed,“
depression, dry skin, and constipation.
swelling of the legs,
decreased concentration.
Antibodies that attack the thyroid are what causes most types of
thyroiditis.
• Physical examination.
• Elevated ESR,
• Elevated thyroglobulin levels,
• Depressed radioactive iodine intake.
• TSH, T4,
• antibodies.
THR therapy is also indicated in patients with a TSH level in the normal
range, to reduce goiter size and prevent progression to overt
hypothyroidism in high-risk patients.
Lifetime replacement of levothyroxine is indicated in hypothyroid
patients, at a starting dosage of 25 to 50 μg per day, with gradual
titration to an average daily dosage of 75 to 150 μg.
A lower starting dosage (12.5 to 25 μg per day) and a more gradual
titration are recommended in elderly patients and in patients with
cardiovascular disease.
The dosage may be increased in these patients 25 to 50 μg every four to
six weeks until the TSH level is normal.
Monitoring