Hashimoto’s Thyroiditis 101: What do I need to Know?

Hashimoto’s Thyroiditis 101: What do I need to Know?

Hashimoto’s Thyroiditis 101: What do I need to Know?

Hashimoto’s Thyroiditis CHT 101: What do I need to Know?

  1. If you have hypothyroidism and you did not have surgery or radiation therapy you most likely have CHT.
  2. CHT is the most common cause of hypothyroidism.
  3. If you have had hypothyroidism for many years the thyroid antibodies may be gone as the thyroid gland is destroyed.
  4. CHT is common in first degree relatives with another thyroid autoimmune disease Graves’ disease.
  5. CHT is common in other related autoimmune diseases such as Diabetes, Lupus.
  6. Relatives down to age 7 need an evaluation for CHT.
  7. CHT can occur from age 7-90.
  8. CHT more common in females.
  9. CHT evaluation such include a neck exam. The gland will be firm even if not enlarged yet.
  10. CHT will have thyroid antibodies TPO, and TG early in the disease onset.
  11. TSH will be slowly rising for years before the patient is hypothyroid from 1-2 to 5-6 before it reaches 10.
  12. This is called subclinical hypothyroidism.
  13. Ultrasound can find associated significant nodules to biopsy.
  14. Thyroid cancers can be associated with long standing untreated CHT with TSH  below 10.
  15. Biopsy needs careful evaluation as there will be benign Hurthle cells which could lead to unnecessary thyroird surgery for follicular neoplasm.
  16. CHT needs treatment with thyroid hormone as soon as the diagnosis is made. Waiting until full blown hypothyroidism may take years and during that time goiter and nodules have grown and one of the nodules could be cancer.
  17. CHT /hypothyroid patient with a goiter above the age of 60 has a small risk of developing a Lymphoma due to presence of lymphocytes in the thyroid gland.
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  19. CHT patient with recent nodule growth of the goiter needs evaluation needle biopsy and flow cytometry to rule out lymphoma and papillary thyroid cancer.
  20. Get my evaluation for CHT at 310-393-8860 or thyroid.manager@protonmail.com.
  21. Dr.G.
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