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Thyroiditis

Pradeepa P. Vimalachandran, MD, MPH Reviewed 06/2018
 


BASICS

DESCRIPTION

Inflammation of the thyroid gland that may be painful or painless 
  • Thyroiditis with thyroid pain

    • Subacute granulomatous thyroiditis (nonsuppurative thyroiditis, de Quervain thyroidit...

DIAGNOSIS

HISTORY

  • Hypothyroid symptoms (e.g., constipation, heavy menstrual bleeding, fatigue, weakness, dry skin, hair loss, cold intolerance)

  • Hyperthyroid symptoms (e.g., irritability, heat intoleranc...

TREATMENT

GENERAL MEASURES

Analgesics for pain; corticosteroids for severe granulomatous thyroiditis 

MEDICATION

  • Hashimoto disease (2)[C]

    • If hypothyroid/goitrous: levothyroxine (1.7 μg/kg/day for adults...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • Hashimoto disease: Repeat thyroid function tests every 3 to 12 months.

  • Subacute granulomatous thyroiditis: Repeat thyroid function tests every 3 ...

REFERENCES

1
Samuels MH. Subacute, silent, and postpartum thyroiditis. Med Clin North Am.  2012;96(2):223–233. [View Abstract on OvidMedline]
2
Li Y, Nishihara E, Kakudo K. Hashimoto’s thyroiditis:...

ADDITIONAL READING

SEE ALSO

Hyperthyroidism; Hypothyroidism, Adult 

CODES

ICD10

  • E06.9 Thyroiditis, unspecified

  • E06.1 Subacute thyroiditis

  • E06.0 Acute thyroiditis

  • E06.4 Drug-induced thyroiditis

  • E06.3 Autoimmune thyroiditis

  • E06.5 Other chronic thyroiditis

  • E06.2 Chronic thyroid...

CLINICAL PEARLS

  • TSH elevation above the normal range indicates a hypothyroid state; suppressed TSH indicates hyperthyroid state. Follow up with free T3/T4 determination.

  • Follow patients on thyroid repl...

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