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Chronic thyroiditis (Hashimoto disease)

Hashimoto thyroiditis; Chronic lymphocytic thyroiditis; Autoimmune thyroiditis; Chronic autoimmune thyroiditis; Lymphadenoid goiter - Hashimoto; Hypothyroidism - Hashimoto; Type 2 polyglandular autoimmune syndrome - Hashimoto; PGA II - Hashimoto

Chronic thyroiditis is caused by a reaction of the immune system against the thyroid gland. It often results in reduced thyroid function (hypothyroidism).

The disorder is also called Hashimoto disease.

The thyroid gland is located in the neck, just above where your collarbones meet in the middle.

Causes

Hashimoto disease is a common thyroid gland disorder. It can occur at any age, but is most often seen in middle-aged women. It is caused by a reaction of the immune system against the thyroid gland.

The disease begins slowly. It may take months or even years for the condition to be detected and for thyroid hormone levels to become lower than normal. Hashimoto disease is most common in people with a family history of thyroid disease.

In very rare cases, the disease may be related to other hormone problems caused by the immune system. It can occur with poor adrenal function and type 1 diabetes. In these cases, the condition is called type 2 polyglandular autoimmune syndrome (PGA II).

Very rarely (usually in children), Hashimoto disease occurs as part of a condition called type 1 polyglandular autoimmune syndrome (PGA I), along with:

  • Poor function of the adrenal glands
  • Fungal infections of the mouth and nails
  • Underactive parathyroid gland

Symptoms

Symptoms of Hashimoto disease may include any of the following:

Exams and Tests

Laboratory tests to determine thyroid function include:

Imaging studies and fine needle biopsy are generally not needed to diagnose Hashimoto thyroiditis.

This disease may also change the results of the following tests:

  • Complete blood count
  • Serum prolactin
  • Serum sodium
  • Total cholesterol

Untreated hypothyroidism can change how your body uses medicines that you may take for other conditions, such as epilepsy. You'll likely need to have regular blood tests to check the levels of the medicines in your body.

Treatment

If you have findings of an underactive thyroid, you may receive thyroid replacement medicine.

Not everyone with thyroiditis or goiter has low levels of thyroid hormone. You may just need regular follow-up by a health care provider.

Outlook (Prognosis)

The disease stays stable for years. If it does slowly progress to thyroid hormone deficiency (hypothyroidism), it can be treated with hormone replacement therapy.

Possible Complications

This condition can occur with other autoimmune disorders. In rare cases, thyroid cancer or thyroid lymphoma may develop.

Severe untreated hypothyroidism can lead to a change in consciousness, coma, and death. This usually occurs if people get an infection, are injured, or take medicines, such as opioids.

When to Contact a Medical Professional

Call your provider if you develop symptoms of chronic thyroiditis or hypothyroidism.

Prevention

There is no known way to prevent this disorder. Being aware of risk factors may allow earlier diagnosis and treatment.

References

Amino N, Lazarus JH, De Groot LJ. Chronic (Hashimoto's) thyroiditis. In: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 86.

Brent GA, Weetman AP. Hypothyroidism and thyroiditis. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Textbook of Endocrinology. 13th ed. Philadelphia, PA: Elsevier; 2016:chap 13.

Jonklaas J, Bianco AC, Bauer AJ, et al. Guidelines for the treatment of hypothyroidism: prepared by the American Thyroid Association task force on thyroid hormone replacement. Thyroid. 2014;24(12):1670-1751. PMID: 25266247 www.ncbi.nlm.nih.gov/pubmed/25266247.

  • Hypothyroidism

    Animation

  •  

    Hypothyroidism - Animation

    Do you feel tired and weak? Well, there could be many reasons for that, but a slow, underactive thyroid may be your problem. Let's talk about hypothyroidism - also known as Slow Thyroid. Here's the thyroid. It's this butterfly shaped gland in your neck - just below the voice box. The thyroid gland is known as the master gland of the body. It regulates our metabolism, so we don't act slow, like turtles, or fast, like jackrabbits. This gland releases hormones that control many important things, like helping your heart pump blood, stimulating your brain and muscles, and helping you keep your body at a healthy temperature. When you have hypothyroidism, your thyroid gland does not make enough hormone, so you end up feeling a bit slow, and perhaps cold, like the turtle. So, what causes a slow thyroid? For at least 9 out of 10 folks, the cause is something called Hashimoto's thyroiditis -- It's what we call an autoimmune condition, where, for reasons that we don't quite understand, our own body attacks perfectly good thyroid tissue as though it were a foreign invader. This attack damages the thyroid gland, so much, that it can't put out enough hormone. This attack happens much more often in women than in men, 10 and 20 times more often. Also, some women develop this condition soon after pregnancy, Why that happens? Nobody knows for sure! So, how do you feel if you have a slow thyroid? If it's just mildly slow, you might not feel anything at all, that's called subclinical hypothyroidism. On the other hand, you might be experiencing symptoms of a slow thyroid RIGHT NOW, but you just haven't connected the dots. You might have mild fatigue, memory or concentration problems. You may have a decreased sex drive, or have trouble losing weight. If you have hypothyroidism, the main treatment is to use a synthetic form of T4 hormone, called Levothyroxine, that simply replaces what your body isn't producing. After starting hormone replacement, your hormone levels should be checked about every 6 weeks, to make sure you are maintaining normal levels. It's important to remember that treating hypothyroidism does not cure the problem, it only controls it. And once you're on Thyroid hormone replacement, you're probably on it for life. The good news is that once your thyroid situation is properly regulated, you'll probably feel a whole lot better.

  • Endocrine glands - illustration

    Endocrine glands release hormones (chemical messengers) into the bloodstream to be transported to various organs and tissues throughout the body. For instance, the pancreas secretes insulin, which allows the body to regulate levels of sugar in the blood. The thyroid gets instructions from the pituitary to secrete hormones which determine the rate of metabolism in the body (the more hormone in the bloodstream, the faster the chemical activity; the less hormone, the slower the activity).

    Endocrine glands

    illustration

  • Thyroid enlargement - scintiscan - illustration

    This image shows the enlargement of the thyroid gland and extension down behind the breastbone (retrosternal space). The image, called a scintiscan, was generated using a radioactive isotope.

    Thyroid enlargement - scintiscan

    illustration

  • Hashimoto's disease (chronic thyroiditis) - illustration

    Chronic thyroiditis (Hashimoto's disease) is a slowly developing persistent inflammation of the thyroid which frequently leads to hypothyroidism, a decreased function of the thyroid gland. Middle-aged women are most commonly affected.

    Hashimoto's disease (chronic thyroiditis)

    illustration

  • Thyroid gland - illustration

    The thyroid gland, a part of the endocrine (hormone) system, plays a major role in regulating the body's metabolism.

    Thyroid gland

    illustration

  • Hypothyroidism

    Animation

  •  

    Hypothyroidism - Animation

    Do you feel tired and weak? Well, there could be many reasons for that, but a slow, underactive thyroid may be your problem. Let's talk about hypothyroidism - also known as Slow Thyroid. Here's the thyroid. It's this butterfly shaped gland in your neck - just below the voice box. The thyroid gland is known as the master gland of the body. It regulates our metabolism, so we don't act slow, like turtles, or fast, like jackrabbits. This gland releases hormones that control many important things, like helping your heart pump blood, stimulating your brain and muscles, and helping you keep your body at a healthy temperature. When you have hypothyroidism, your thyroid gland does not make enough hormone, so you end up feeling a bit slow, and perhaps cold, like the turtle. So, what causes a slow thyroid? For at least 9 out of 10 folks, the cause is something called Hashimoto's thyroiditis -- It's what we call an autoimmune condition, where, for reasons that we don't quite understand, our own body attacks perfectly good thyroid tissue as though it were a foreign invader. This attack damages the thyroid gland, so much, that it can't put out enough hormone. This attack happens much more often in women than in men, 10 and 20 times more often. Also, some women develop this condition soon after pregnancy, Why that happens? Nobody knows for sure! So, how do you feel if you have a slow thyroid? If it's just mildly slow, you might not feel anything at all, that's called subclinical hypothyroidism. On the other hand, you might be experiencing symptoms of a slow thyroid RIGHT NOW, but you just haven't connected the dots. You might have mild fatigue, memory or concentration problems. You may have a decreased sex drive, or have trouble losing weight. If you have hypothyroidism, the main treatment is to use a synthetic form of T4 hormone, called Levothyroxine, that simply replaces what your body isn't producing. After starting hormone replacement, your hormone levels should be checked about every 6 weeks, to make sure you are maintaining normal levels. It's important to remember that treating hypothyroidism does not cure the problem, it only controls it. And once you're on Thyroid hormone replacement, you're probably on it for life. The good news is that once your thyroid situation is properly regulated, you'll probably feel a whole lot better.

  • Endocrine glands - illustration

    Endocrine glands release hormones (chemical messengers) into the bloodstream to be transported to various organs and tissues throughout the body. For instance, the pancreas secretes insulin, which allows the body to regulate levels of sugar in the blood. The thyroid gets instructions from the pituitary to secrete hormones which determine the rate of metabolism in the body (the more hormone in the bloodstream, the faster the chemical activity; the less hormone, the slower the activity).

    Endocrine glands

    illustration

  • Thyroid enlargement - scintiscan - illustration

    This image shows the enlargement of the thyroid gland and extension down behind the breastbone (retrosternal space). The image, called a scintiscan, was generated using a radioactive isotope.

    Thyroid enlargement - scintiscan

    illustration

  • Hashimoto's disease (chronic thyroiditis) - illustration

    Chronic thyroiditis (Hashimoto's disease) is a slowly developing persistent inflammation of the thyroid which frequently leads to hypothyroidism, a decreased function of the thyroid gland. Middle-aged women are most commonly affected.

    Hashimoto's disease (chronic thyroiditis)

    illustration

  • Thyroid gland - illustration

    The thyroid gland, a part of the endocrine (hormone) system, plays a major role in regulating the body's metabolism.

    Thyroid gland

    illustration


St. Luke’s, 915 East First Street, Duluth, MN 55805 218.249.5555 | 800.321.3790

Review Date: 2/22/2018

Reviewed By: Brent Wisse, MD, board certified in Metabolism/Endocrinology, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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