Presentation
Presented at: 2017 AACE Annual Scientific & Clinical Congress, May 3-7, in Austin, Texas. [psychiatryadvisor.com]
Luke’s Hospital in Chesterfield, Missouri, presented the case of an 18-year-old woman with bipolar disorder. [endocrinologyadvisor.com]
The findings indicate that increased TSAb and TBII activity may be detected in patients with silent thyroiditis and, when present, are associated with transient hypothyroidism during the course of the disease. [ncbi.nlm.nih.gov]
The objective was to present a case of silent thyroiditis presenting as periodic paralysis. A 23-year-old man presented with recurrent acute flaccid predominantly proximal weakness of all four limbs. He had a similar episode 3 weeks back. [annalsofian.org]
Respiratoric
- Rhinitis
Another brother, the father, and the paternal grandmother, who did not have allergic rhinitis caused by Japanese cedar pollen, did not show symptoms of silent thyroiditis. [ncbi.nlm.nih.gov]
Musculoskeletal
- Muscle Tenderness
He had no weakness of extraocular muscles, no muscle tenderness. His higher function and sensory and cerebellar functions were within normal limits. His respiratory, cardiovascular, and gastrointestinal examination revealed no obvious abnormalities. [annalsofian.org]
Skin
- Petechiae
She also had petechiae in her arms which were diagnosed as an idiopathic thrombocytopenic purpura (I.T.P.). [ncbi.nlm.nih.gov]
Psychiatrical
- Suicidal Ideation
After developing lithium-induced nephropathy following 5 years of treatment, treatment was discontinued; however, lithium was resumed 1 month later due to suicidal ideation. [psychiatryadvisor.com]
Neurologic
- Hand Tremor
A physical examination may show: Enlarged thyroid gland that is not painful to the touch Rapid heart rate Shaking hands (tremor) Tests that may be done include: Radioactive iodine uptake Thyroid hormones T3 and T4 TSH Erythrocyte sedimentation rate C-reactive [nlm.nih.gov]
- Fine Tremor
There was no goiter or fine tremor. Recurrent episodes of flaccid paralysis followed by quick recovery were suggestive of periodic paralysis. His routine hematological study was normal except a high first-hour ESR of 68 mm/h. [annalsofian.org]
Common signs of thyrotoxicosis include the following: Weight loss despite increased appetite Lid lag and stare Sinus tachycardia Atrial fibrillation or high-output failure (in elderly persons) Fine tremor Muscle weakness Synergism occurs between thyrotoxicosis [emedicine.medscape.com]
- Quadriplegia
However, her neurological symptoms deteriorated with floppy quadriplegia and deep coma. She gradually recovered. On day 36, she was discharged without any neurological symptoms or thyrotoxicosis. [ncbi.nlm.nih.gov]
- Flaccid Paralysis
Recurrent episodes of flaccid paralysis followed by quick recovery were suggestive of periodic paralysis. His routine hematological study was normal except a high first-hour ESR of 68 mm/h. [annalsofian.org]
Workup
Hashimoto thyroiditis is part of the spectrum of autoimmune thyroid diseases (AITDs). [24] (See Etiology, Presentation, and Workup.) [emedicine.medscape.com]
Although she denied our advice to admit herself, she underwent a thorough medical workup. Our patient's medical history was significant for diagnoses of Hashimoto's thyroiditis, hypertension and hyperlipidemia at the age of 48. [jmedicalcasereports.biomedcentral.com]
Rhythm
- Sinus Arrest
Initially, fluid therapy was started, but she lost consciousness and had a cardiac arrest for 2 minutes due to prolonged sinus arrest. Chest compression and manual artificial ventilation were performed, and body surface pacing was started. [ncbi.nlm.nih.gov]
Treatment
A 28-year-old woman with thyroid hemiagenesis, who had been diagnosed as having Graves' disease, became pregnant during the course of methimazole treatment. The treatment was terminated in the second trimester. [ncbi.nlm.nih.gov]
Hyperthyroidism Treatment Thyroid hormone production can be slowed or stopped completely with: Radioactive iodide treatment Anti-thyroid medication Surgery Continued If your doctor decides that radioactive treatment is best, you'll swallow a tablet or [webmd.com]
Prognosis
Long-term prognosis is usually excellent. [ncbi.nlm.nih.gov]
Treatment and prognosis The course is usually benign and transient. Moderate doses of β-adrenergic blocking agents may provide symptomatic relief. Promoted articles (advertising) [radiopaedia.org]
Untreated myxedema coma has a poor prognosis and a high mortality rate. [emedicine.medscape.com]
Etiology
Its etiology is uncertain; however, a few reports have indicated the occurrence of TSH binding-inhibiting immunoglobulins (TBII) and thyroid-stimulating antibodies (TSAb) in some of the patients. [ncbi.nlm.nih.gov]
[…] which produce antithyroid antibodies) AUTOIMMUNE THYROIDITIS ETIOLOGY 44. [slideshare.net]
International specialists in Microbiology, Infectious Diseases, Internal Medicine, Cardiology Immunology, Pneumonolgy, Neurology and Epidemiology gathered to this workshop to discuss and enhance interdisciplinary knowledge on the possible etiological [books.google.de]
Cases of lesser severity also exist, and the etiology may be confusing. [prep4usmle.com]
Disease course Although the etiology appears to be different for the three subtypes, the clinical courses are the same. [emedicine.medscape.com]
Epidemiology
Current deficits and goals in standardisation of diagnostic tools, basic and applied research, design of epidemiological and monitoring of therapy studies were identified. [books.google.de]
Introduction Clinical definition a granulomatous autoimmune disease of the thyroid that causes hyperthyroidism that may be followed by a hypothyroid phase also known as de Quervain or granulomatous thyroiditis Epidemiology demographics women > men adults [medbullets.com]
EPIDEMIOLOGY Women are three to five times more likely to be affected than men. [aafp.org]
Hypothyroidism Epidemiology Hypothyroidism (including subclinical hypothyroidism) occurs in 2.5% of pregnant women. [patient.info]
Pathophysiology
Pathophysiology Destruction of follicular epithelium and loss of follicular integrity are the primary events in the pathophysiology of subacute granulomatous thyroiditis. [emedicine.medscape.com]
Prevention
One patient was unsuccessfully prescribed thyroid hormone to prevent recurrence. Three were treated with radioablative iodine therapy during the recovery phase of an episode; they became hypothyroid and take replacement l-thyroxine. [ncbi.nlm.nih.gov]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]
Prevention Flu shots or immunizations for measles, mumps, and rubella may help prevent conditions associated with subacute thyroiditis. There is no known way to prevent other forms of thyroiditis. [encyclopedia.com]
The exact cause of Postpartum Silent Thyroiditis is not known, and hence currently, there is no known preventive method reported for the condition Screening of thyroid function during and after pregnancy can avoid the development of severe signs and symptoms [dovemed.com]