Hashimoto Disease

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Hashimoto thyroiditis (HT), also called lymphocytic thyroiditis or chronic autoimmune thyroiditis, is characterized by autoimmune destruction of the thyroid gland that can result in ...

DIAGNOSIS

HISTORY

  • Although asymptomatic in some cases, most patients will present with symptoms specific for hypothyroidism:

    • Fatigue

    • Cold intolerance

    • Mild weight gain

    • Hoarse voice

    • Dry skin

    • Hair loss

    • Brittle n...

TREATMENT

GENERAL MEASURES

  • The goal of treatment is to alleviate symptoms and to bring blood levels of TSH into the normal range.

  • Oral thyroid hormone replacement should be considered in all patients wi...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • TSH can be monitored every 4 to 6 weeks and dose titrated to achieve target goals.

  • Once target goal is achieved, then TSH should be monitored yea...

REFERENCES

Garber JR, Cobin RH, Gharib H, et al. Clinical practice guidelines for hypothyroidism in adults: cosponsored by the American Association of Clinical Endocrinologists and the American Thyro...

CODES

ICD10

  • E06.3 Autoimmune thyroiditis

  • E03.9 Hypothyroidism, unspecified

  • E04.9 Nontoxic goiter, unspecified

ICD9

  • 245.2 Chronic lymphocytic thyroiditis

  • 244.9 Unspecified acquired hypothyroidism

  • 240.9 Goiter...

CLINICAL PEARLS

  • HT progresses from asymptomatic to overt hypothyroidism. Thyroid hormone replacement is recommended for overt and high titer antibody subclinical Hashimoto hypothyroidism. The balance ...

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