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Hashimoto's thyroiditis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]

Overview

Overview

The hallmark of Hashimoto’s thyroiditis is hypothyroidism. A positive history of autoimmune diseases and certain drug use are suggestive of Hashimoto’s thyroiditis. The most common symptoms of Hashimoto’s thyroiditis include fatigue, constipation, and cold intolerance.

History

History

Patients with Hashimoto’s thyroiditis usually have the history of other autoimmune diseases and family history of autoimmune diseases. Occasionally, there might be a history of certain drug use like interferon-alpha and monoclonal antibodies.

Symptoms

Symptoms

In many cases, Hashimoto’s thyroiditis usually results in hypothyroidism, although, in its acute phase, it can cause a transient hyperthyroidism thyrotoxic state known as hashitoxicosis. Hypothyroidism resulting from Hashimoto’s thyroiditis can cause these symptoms:[1][2][3]

Common Symptoms

Organ-based Symptoms

There are several organs involved in the hypothyroidism associated with Hashimoto’s thyroiditis. The manifestation of Hashimoto’s thyroiditis is variable as a result of the extensive involvement of multiple organs. The organ-based manifestation are as follows:

Location Symptoms
General
Localized symptoms
Gastrointestinal system
Skin and appendages
Neuro-psychiatric system
Reproductive system
Musculoskeletal
References

References

  1. Ladenson P, Kim M. Thyroid. In: Goldman L and Ausiello D, eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa:Saunders; 2007:chap 244.
  2. Caturegli P, De Remigis A, Rose NR (2014). “Hashimoto thyroiditis: clinical and diagnostic criteria”. Autoimmun Rev. 13 (4–5): 391–7. doi:10.1016/j.autrev.2014.01.007. PMID 24434360.
  3. “Hashimoto’s Thyroiditis | American Thyroid Association”.

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