Silent thyroiditisLymphocytic thyroiditis; Subacute lymphocytic thyroiditis; Painless thyroiditis; Postpartum thyroiditis; Thyroiditis - silent; Hyperthyroidism - silent thyroiditis
Silent thyroiditis is an immune reaction of the thyroid gland. The disorder can cause hyperthyroidism, followed by hypothyroidism.
The thyroid gland is located in the neck, just above where your collarbones meet in the middle.
The cause of the disease is unknown. But it is related to an attack against the thyroid by the immune system. The disease affects women more often than men.
The immune response is how your body recognizes and defends itself against bacteria, viruses, and substances that appear foreign and harmful....Read Article Now Book Mark Article
The disease can occur in women who have just had a baby. It can also be caused by medicines such as interferon and amiodarone, and some types of chemotherapy, which affect the immune system.
The earliest symptoms result from an overactive thyroid gland (hyperthyroidism). These symptoms may last for up to 3 months.
Hyperthyroidism is a condition in which the thyroid gland makes too much thyroid hormone. The condition is often called overactive thyroid.Read Article Now Book Mark Article
Symptoms are often mild, and may include:
- Fatigue, feeling weak
Fatigue is a feeling of weariness, tiredness, or lack of energy.Read Article Now Book Mark Article
- Frequent bowel movements
- Heat intolerance
Heat intolerance is a feeling of being overheated when the temperature around you rises. It can often cause heavy sweating. Heat intolerance usually...Read Article Now Book Mark Article
- Increased appetite
Increased appetite means you have an excess desire for food.Read Article Now Book Mark Article
- Increased sweating
- Irregular menstrual periods
- Mood changes, such as irritability
- Muscle cramps
Muscle cramps are when a muscle gets tight (contracts) without you trying to tighten it, and it does not relax. Cramps may involve all or part of on...Read Article Now Book Mark Article
- Nervousness, restlessness
Agitation is an unpleasant state of extreme arousal. An agitated person may feel stirred up, excited, tense, confused, or irritable.Read Article Now Book Mark Article
Palpitations are feelings or sensations that your heart is pounding or racing. They can be felt in your chest, throat, or neck. You may:Have an unpl...Read Article Now Book Mark Article
- Weight loss
Later symptoms may be of an underactive thyroid (hypothyroidism), including:
Hypothyroidism is a condition in which the thyroid gland does not make enough thyroid hormone. This condition is often called underactive thyroid....Read Article Now Book Mark Article
- Dry skin
- Weight gain
- Cold intolerance
These symptoms can persist until the thyroid recovers normal function. The recovery of the thyroid can take many months in some people. Some people only notice the hypothyroid symptoms and do not have symptoms of hyperthyroidism to begin with.
Exams and Tests
The health care provider will examine you and ask about your symptoms and medical history.
A physical examination may show:
- Enlarged thyroid gland that is not painful to the touch
- Rapid heart rate
- Shaking hands (tremor)
- Brisk reflexes
- Sweaty, warm skin
Tests that may be done include:
- Radioactive iodine uptake
Radioactive iodine uptake
Radioactive iodine uptake (RAIU) tests thyroid function. It measures how much radioactive iodine is taken up by your thyroid gland in a certain time...Read Article Now Book Mark Article
- Thyroid hormones T3 and T4
Triiodothyronine (T3) is a thyroid hormone. It plays an important role in the body's control of metabolism (the many processes that control the rate...Read Article Now Book Mark Article
T4 (thyroxine) is the main hormone produced by the thyroid gland. A laboratory test can be done to measure the amount of free T4 in your blood. Fre...Read Article Now Book Mark Article
A TSH test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland. It prompts the thyroid g...Read Article Now Book Mark Article
- Erythrocyte sedimentation rate
Erythrocyte sedimentation rate
ESR stands for erythrocyte sedimentation rate. It is commonly called a "sed rate. "It is a test that indirectly measures the level of certain protei...Read Article Now Book Mark Article
- C-reactive protein
C-reactive protein (CRP) is produced by the liver. The level of CRP rises when there is inflammation in the body. It is one of a group of proteins,...Read Article Now Book Mark Article
Many providers now screen for thyroid disease before and after starting medicines that commonly cause this condition.
Treatment is based on symptoms. Medicines called beta-blockers may be used to relieve rapid heart rate and excessive sweating.
Silent thyroiditis often goes away on its own within 1 year. The acute phase usually ends within 3 months.
Acute means sudden. Acute symptoms appear, change, or worsen rapidly. It is the opposite of chronic.Read Article Now Book Mark Article
Some people develop hypothyroidism over time. They need to be treated for a while with a medicine that replaces thyroid hormone. Regular follow-ups with a provider are recommended.
The disease is not infectious. People cannot catch the disease from you. It also is not inherited within families like some other thyroid conditions.
When to Contact a Medical Professional
Call your provider if you have symptoms of this condition.
Hollenberg A, Wiersinga WM. Hyperthyroid disorders. In: Melmed S, Auchus RJ, Golfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 12.
Jonklaas J, Cooper DS. Thyroid. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 213.
Lakis ME, Wiseman D, Kebebew E. Management of thyroiditis. In: Cameron AM, Cameron JL, eds. Current Surgical Therapy. 13th ed. Philadelphia, PA: Elsevier; 2020:764-767.
Thyroid gland - illustration
The thyroid gland, a part of the endocrine (hormone) system, plays a major role in regulating the body's metabolism.
Review Date: 2/1/2022
Reviewed By: Sandeep K. Dhaliwal, MD, board-certified in Diabetes, Endocrinology, and Metabolism, Springfield, VA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.