Silent thyroiditis history and symptoms: Difference between revisions

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=== History ===
=== History ===
Obtaining the complete history ​is an important ​aspect ​​of​ ​making​ ​a ​​diagnosis ​of ​silent thyroiditis. It provides ​insight​ ​into​ ​cause, ​precipitating ​factors​ ​and ​​associated ​comorbid
conditions. ​A complete​ ​history​ ​also ​​helps to ​determine ​the ​​correct​ ​therapy.​ ​Specific ​histories​ ​about ​​the ​symptoms ​(duration, ​onset, progression), ​​associated symptoms, ​drug​ ​usage​ ​may​ ​be​ ​obtained.
Patients with silent thyroiditis may have the history of other [[autoimmune]] diseases such as [[SLE]], [[immune thrombocytopenic purpura]] (ITP), and [[lymphocytic hypophysitis]]. Patients with [[Cushing's syndrome]] may develop silent thyroiditis after the cessation of [[steroid]] therapy.
Patients with silent thyroiditis may have the history of other [[autoimmune]] diseases such as [[SLE]], [[immune thrombocytopenic purpura]] (ITP), and [[lymphocytic hypophysitis]]. Patients with [[Cushing's syndrome]] may develop silent thyroiditis after the cessation of [[steroid]] therapy.



Revision as of 14:08, 17 October 2017

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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

Patients with silent thyroiditis may have the history of other autoimmune diseases such as SLE (systemic lupus erythematosus), immune thrombocytopenic purpura (ITP), and lymphocytic hypophysitis. The most common symptoms of silent thyroiditis are palpitations, tachycardia, nervousness, and tremors.

History and symptoms

History

Obtaining the complete history ​is an important ​aspect ​​of​ ​making​ ​a ​​diagnosis ​of ​silent thyroiditis. It provides ​insight​ ​into​ ​cause, ​precipitating ​factors​ ​and ​​associated ​comorbid conditions. ​A complete​ ​history​ ​also ​​helps to ​determine ​the ​​correct​ ​therapy.​ ​Specific ​histories​ ​about ​​the ​symptoms ​(duration, ​onset, progression), ​​associated symptoms, ​drug​ ​usage​ ​may​ ​be​ ​obtained. Patients with silent thyroiditis may have the history of other autoimmune diseases such as SLE, immune thrombocytopenic purpura (ITP), and lymphocytic hypophysitis. Patients with Cushing's syndrome may develop silent thyroiditis after the cessation of steroid therapy.

Symptoms

Silent thyroiditis usually presents with the symptoms of hyperthyroidism or hypothyroidism. The symptoms of silent thyroiditis include the following:[1][2][3][4]

Common Symptoms

Common symptoms of silent thyroiditis include:

Symptoms according to the disease stage

Silent thyroiditis usually causes hyperthyroidism in its acute phase. However, it can also cause hypothyroidism in some cases.

Hyperthyroidism (in acute phase)

Silent thyroiditis usually presents with the symptoms of thyrotoxicosis.

General

The patient may have the following general symptoms:

Gastrointestinal system

The patient may have:

Cardiovascular system

The patient may have:

Neuro-psychiatric system

The patient may have:

Skin and appendages

The patient may have:

Hypothyroidism (in later stage)

The symptoms of hypothyroidism may develop in the later stages of silent thyroiditis during the recovery of thyrotoxicosis.

General

The patient may have:

Gastrointestinal system

The patient may have:

Skin and appendages

The patient may have:

Neuro-psychiatric system

The patient may have:

Reproductive system

The patient may have:

Musculoskeletal

The patient may have:

References

  1. "Thyroiditis — NEJM".
  2. Walker P (1984). "Silent thyroiditis". Can Fam Physician. 30: 1337–9. PMC 2153523. PMID 21278944.
  3. Samuels MH (2012). "Subacute, silent, and postpartum thyroiditis". Med. Clin. North Am. 96 (2): 223–33. doi:10.1016/j.mcna.2012.01.003. PMID 22443972.
  4. Xu X, De Pergola G, Björntorp P (1990). "The effects of androgens on the regulation of lipolysis in adipose precursor cells". Endocrinology. 126 (2): 1229–34. doi:10.1210/endo-126-2-1229. PMID 2153523.


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