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Subacute lymphocytic thyroiditis

Field	Value
synonym	Silent thyroiditis, painless thyroiditis, subacute lymphocytic thyroiditis
specialty	Endocrinology

Silent thyroiditis is a form of thyroiditis. It may occur at any age and is more common in females. When silent thyroiditis occurs postpartum it is called 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. This disorder should not be confused with de Quervain's thyroiditis which is another form of subacute thyroiditis.

Symptoms and signs

Silent 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.

Diagnosis

Silent thyroiditis can only be diagnosed definitively by taking a radioactive iodine uptake test (RAIU) test. This situation contrasts greatly with the elevated iodine uptake found in patients with Graves' disease.

Treatment

Treatment is based on symptoms. Beta-blockers relieve rapid heart rate and excessive sweating during the hyperthyroid phase.

References

(2012-01-01). "Hashimoto's Thryoiditis". Thyroid Disease Manager.
[http://www.aafp.org/afp/20000215/1047.html ''Thyroiditis: Differential Diagnosis and Management'', American Family Physician, February 15, 2000]
{{DorlandsDict. eight/000108754. Subacute lymphocytic thyroiditis
(2024-02-28). "Silent thyroiditis".

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

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