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Thyroiditis

Allegra Tenkman, MD and Tiffany Chen, Doctor of Osteopathic Medicine, D.O. Reviewed 06/2022
 


BASICS

DESCRIPTION

Painful or painless inflammatory dysfunction of the thyroid gland 
  • Painful thyroiditis:

    • Subacute granulomatous thyroiditis (nonsuppurative thyroiditis, de Quervain thyroiditis, giant c...

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

  • If thyrotoxic and symptomatic: propylthiouracil and propranolol, except not used in PPT or painless thyroiditis

  • An elevated TSH level in a woman who is pregnant or attempting ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Subacute granulomatous thyroiditis: Repeat thyroid function tests every 3 to 6 weeks until euthyroid and then every 6 to 12 months.

  • Hashimoto dis...

REFERENCES

1
Winther KH, Wichman JE, Bonnema SJ, Hegedüs L. Insufficient documentation for clinical efficacy of selenium supplementation in chronic autoimmune thyroiditis, based on a systematic review ...

CODES

ICD10

  • E06.5 Other chronic thyroiditis

  • E06.0 Acute thyroiditis

  • E06 Thyroiditis

  • E06.4 Drug-induced thyroiditis

  • E06.1 Subacute thyroiditis

  • O90.5 Postpartum thyroiditis

  • E06.3 Autoimmune thyroiditis

  • E06.9 Th...

CLINICAL PEARLS

Hashimoto thyroiditis is the most common etiology of chronic hypothyroidism. 

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