What is de Quervain thyroiditis?
De Quervain’s thyroiditis, also known as subacute granulomatous thyroiditis or giant cell thyroiditis, is a health condition involving the thyroid gland that usually resolves spontaneously without treatment. It is named after Fritz de Quervain.
What causes de Quervain’s thyroiditis?
De Quervain’s (subacute) thyroiditis is a painful swelling of the thyroid gland thought to be triggered by a viral infection, such as mumps or flu. It’s most commonly seen in women aged 20 to 50. It usually causes high temperature and pain in the neck, jaw or ear.
How is de Quervain’s thyroiditis diagnosed?
The diagnosis is confirmed with low TSH, elevated free T4, T3, ESR, C-reactive protein, and low radioiodine uptake. Radioiodine imaging can be deferred in a mild hyperthyroid state from subacute thyroiditis.
Does De Quervain thyroiditis cause hypothyroidism?
Patients typically then become hypothyroid as the pituitary reduces TSH production and the inappropriately released colloid is depleted before resolving to euthyroid. The symptoms are those of hyperthyroidism and hypothyroidism. In addition, patients may suffer from painful dysphagia.
How is de Quervain thyroiditis treated?
Treatment for De Quervain’s thyroiditis can vary dramatically depending on the individual patient’s needs. Some sufferers may simply require over the counter pain medication to manage a short-term attack. Salicylates and non-steroidal anti-inflammatory medications may also be used to treat mild to moderate cases.
What is Hashimoto’s thyroiditis a form of?
Inflammation from Hashimoto’s disease, also known as chronic lymphocytic thyroiditis, often leads to an underactive thyroid gland (hypothyroidism). Hashimoto’s disease is the most common cause of hypothyroidism. It primarily affects middle-aged women but can also occur in men and women of any age and in children.
Is Egg good for thyroid patient?
Eggs, especially pastured eggs are rich sources of iodine and selenium, which are thyroid supportive nutrients. One egg contains 20 percent of selenium and 15 percent of iodine is required by your body daily for the better functioning of the thyroid gland.
How long does it take to heal from thyroiditis?
People who develop subacute thyroiditis usually have symptoms for 1 to 3 months, but complete recovery of thyroid function can take up to 12 to 18 months.
Is De Quervain’s thyroiditis an autoimmune disease?
Typically, painful thyroiditis is caused by radiation, trauma, or infection, while painless thyroiditis is caused by autoimmune diseases or medications. Painful thyroiditis can be further divided into subacute granulomatous (de Quervain) thyroiditis, suppurative thyroiditis, and thyroiditis caused by radiation/trauma.
What is 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.
How long does thyroiditis take to heal?
How long does thyroiditis symptoms last?
The thyrotoxic phase lasts for 1-3 months and is associated with symptoms including anxiety, insomnia, palpitations (fast heart rate), fatigue, weight loss, and irritability. The hypothyroid phase typically occurs 1-3 months after the thyrotoxic phase and may last up to 9 – 12 months.
What infections cause thyroiditis?
A variety of bacterial infections have been implicated in triggering autoimmune thyroiditis, including Helicobacter Pylori (the same bacteria that causes ulcers), Borrelia burgdorferi (associated with Lyme disease) and Yersinia enterocolitica.
What are the phases of subacute granulomatous thyroiditis?
– Acute phase – Lasts 3-6 weeks and presents primarily with pain; symptoms of hyperthyroidism also may be present – Transient asymptomatic and euthyroid phase – Lasts 1-3 weeks – Hypothyroid phase – Lasts from weeks to months; it may become permanent in 5-15% of patients – Recovery phase – Characterized by normalization of thyroid structure and function
How is thyroiditis diagnosed?
Hashimoto’s thyroiditis is diagnosed by blood tests that measure thyroid gland function and blood tests that look for antibodies against proteins found in the thyroid gland. Treatment options for Hashimoto’s thyroiditis are oral thyroid hormones to maintain normal thyroid hormone levels.