Hashimoto's thyroiditis treatment steroids

Subacute thyroiditis is usually a self-limiting disorder. It is believed to be caused by a viral infection which causes acute painful inflammation of the thyroid gland with destruction of thyroid cells and release of excessive quantities of thyroid hormone into the blood stream. The patient affected by this disorder usually complains of a painful swollen thyroid gland and symptoms of hyperthyroid. This gradually gets better over a period of weeks or months but the damage done to the thyroid gland may cause hypothyroidism that can last for months. Most patients recover but some do not and will need lifelong thyroxine replacement therapy for life.

Hashimoto's thyroiditis was first described by Japanese physician Hashimoto Hakaru working in Germany in 1912. Hashimoto's thyroiditis is also known as chronic lymphocytic thyroiditis, and patients with this disease often complain about difficulty swallowing. This condition may be so mild at first that the disease goes unnoticed for years. The first symptom that shows signs of Hashimoto's thyroiditis is a goiter on the front of the neck. Depending on the severity of the disease and how much it has progressed, doctors then decide what steps are taken for treatment.

For those patients with overt hypothyroidism (elevated TSH and low thyroid hormone levels) treatment consists of thyroid hormone replacement (see Thyroid Hormone Treatment brochure). Synthetic levothyroxine taken orally at an appropriate dose, is inexpensive, very effective in restoring normal thyroid hormone levels and results in improvement of symptoms of hypothyroidism. Most patients with Hashimoto’s thyroiditis will require lifelong treatment with levothyroxine. Finding the appropriate dose, particularly at the beginning may require testing with TSH every 6-8 weeks after any dose adjustment, until the correct dose is determined. After that, monitoring of TSH once a year is generally sufficient.

Hashimoto's thyroiditis is not a reason to avoid pregnancy . However, some women with Hashimoto's thyroiditis do have trouble conceiving. In addition to careful obstetric care, management of thyroid hormone replacement by an endocrinologist is helpful. Before conception and during pregnancy, levels of thyroid hormones need to be monitored and optimized by checking TSH levels, and if necessary, adjusting the medication dose. The target goal is usually within the range for nonpregnant women but at the higher end of the normal range.

Hashimoto's thyroiditis treatment steroids

hashimoto's thyroiditis treatment steroids

Hashimoto's thyroiditis is not a reason to avoid pregnancy . However, some women with Hashimoto's thyroiditis do have trouble conceiving. In addition to careful obstetric care, management of thyroid hormone replacement by an endocrinologist is helpful. Before conception and during pregnancy, levels of thyroid hormones need to be monitored and optimized by checking TSH levels, and if necessary, adjusting the medication dose. The target goal is usually within the range for nonpregnant women but at the higher end of the normal range.

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