Causes of thyroiditis

Written by Zhang Jun Jun
Endocrinology
Updated on December 25, 2024
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The causes of thyroiditis are mainly divided into several types:

The first type is acute thyroiditis, which is mostly caused by bacterial infection. Some abscesses in the thyroid lead to fever and inflammation of the thyroid. Generally, anti-infection treatment can achieve a curative effect.

The second type, subacute thyroiditis, is mostly caused by viral infections. It is a self-limiting disease that can be cured by using some analgesics, and even some hormonal medications.

Chronic thyroiditis generally arises from autoimmune diseases. Often in the late stages, it causes reduced thyroid function. Since currently there are no drugs to intervene in autoimmune diseases, the main treatment is medication maintenance and control of thyroid function within the normal range.

Therefore, the causes of thyroiditis need to be divided into acute, subacute, and chronic thyroiditis to distinguish its causes.

(The use of medication should be done under the guidance of a professional doctor.)

Other Voices

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Written by Chen Xie
Endocrinology
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Re-examination of thyroiditis includes checking for what?

Thyroiditis includes autoimmune thyroiditis and subacute thyroiditis. For patients with subacute thyroiditis, it is recommended to check thyroid function, erythrocyte sedimentation rate, and complete blood count among others to understand the control of the infection and the status of thyroid function. For autoimmune thyroiditis, it is advised to check thyroid function as well as thyroperoxidase antibodies and thyroglobulin antibodies to understand the function of the thyroid and the related antibody status. Additionally, a re-examination of thyroid ultrasound is recommended to assess the condition of the thyroid.

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Written by Tang Zhuo
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What department does thyroiditis fall under?

Thyroiditis is a common disease in endocrinology. Thyroiditis refers to the inflammation of the thyroid gland, which can be divided into two types: bacterial inflammation and autoimmune inflammation. Clinically, thyroiditis can be categorized into three types: the first is called acute suppurative thyroiditis, the second is called subacute thyroiditis, and the third is called chronic thyroiditis. Acute thyroiditis is a bacterial infection and the pathogens can be either bacteria or viruses. It is generally induced by an upper respiratory infection, which may trigger a bacterial or viral infection in the thyroid. Subacute thyroiditis is not a bacterial infection but an immunological inflammatory infection. The third type, chronic thyroiditis, is also known as Hashimoto's disease. All three types of thyroiditis can be treated in the department of endocrinology.

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Written by Luo Juan
Endocrinology
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What are the symptoms of acute thyroiditis?

Acute thyroiditis generally refers to acute suppurative thyroiditis, a type of pyogenic infectious disease. For instance, many patients may exhibit symptoms of an upper respiratory tract infection or experience swelling, pain, or difficulty swallowing in the lateral aspect of the thyroid in the anterior neck following a fine needle aspiration biopsy of a thyroid nodule. The local skin over the thyroid may display erythema or heat, and some may also have systemic symptoms of a febrile disease, such as increased body temperature, generalized body aches, and fatigue, along with swelling and pain in the cervical lymph nodes. Thus, the primary symptoms of acute thyroiditis are infectious, accompanied by symptoms of compression pain due to thyroid enlargement.

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Written by Zhang Jun Jun
Endocrinology
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Symptoms of thyroiditis and hypothyroidism

Because the onset of hypothyroidism is gradual, its early symptoms are atypical. Specific symptoms only appear when there is a decrease in basal metabolic rate and a reduction in sympathetic nerve excitability. Generally, symptoms include cold intolerance, fatigue, swelling of hands and feet, drowsiness, memory decline, reduced sweating, joint pain, weight gain, constipation, and menstrual irregularities such as heavy or light periods, or infertility in women of childbearing age. Additionally, some common clinical signs include expressionless face, slow response, hoarse voice, hearing impairment, pale complexion, edema around the eyelids, face and lower limbs, thick tongue coating often with teeth marks. Moreover, there are also associated symptoms such as dry skin, flaky skin, low skin temperature, and the hands and feet turning a yellowish-orange color.

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Written by Li Hui Zhi
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Are people with thyroiditis afraid of heat?

Thyroiditis generally refers to subacute thyroiditis. It is a disease caused by the destruction of thyroid follicles due to a viral infection, leading to the release of thyroid hormones into the blood. In the early stages, some people may experience transient hyperthyroidism, with symptoms such as heat intolerance, excessive sweating, palpitations, insomnia, weight loss, and irritability. In addition to these symptoms, thyroiditis can also be accompanied by neck pain and fever, generally occurring in the afternoon or evening. Therefore, it is recommended that anyone with these symptoms should promptly visit an endocrinology specialist to complete thyroid function tests, erythrocyte sedimentation rate, routine blood tests, and thyroid ultrasound to confirm the diagnosis.