Hashimoto's thyroiditis should be seen in which department?

Written by Li Hui Zhi
Endocrinology
Updated on September 14, 2024
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Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, should be seen by an endocrinologist as it is an autoimmune disease. How do we know if it's Hashimoto's thyroiditis? It is typically identified during routine physical examinations that include a thyroid function test. Hashimoto's thyroiditis is characterized by a specific antibody, the anti-thyroperoxidase antibody, also known as Tpoab. Many people may have elevated levels of this antibody, yet their thyroid function, such as free T3, T4, and TSH levels, remains normal. In such cases, it is advisable to initially observe the condition dynamically and to regularly recheck thyroid function, as some individuals may gradually develop reduced thyroid function. Thus, regular monitoring of thyroid function is very important.

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Written by Chen Xie
Endocrinology
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How to cure Hashimoto's thyroiditis?

Hashimoto's thyroiditis is characterized by autoimmune antibodies destroying the thyroid gland, leading to a gradual decline in thyroid function and manifesting symptoms of hypothyroidism. Currently, this disease is incurable. Treatment mainly includes restricting iodine intake to keep it within a safe range to prevent the progression of autoimmune destruction of the thyroid. Patients who only have thyroid swelling without hypothyroidism generally do not require treatment. However, once hypothyroidism occurs, it can be treated with levothyroxine to alleviate the symptoms of hypothyroidism. Nevertheless, current levothyroxine treatment cannot stop the progression of the disease. When the thyroid swells rapidly with local pain or compressive symptoms, treatment with glucocorticoids can be considered. However, if the symptoms do not improve or the compressive symptoms are significant, surgical treatment may be considered, although the likelihood of developing hypothyroidism post-surgery is higher.

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Written by Chen Xie
Endocrinology
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Does Hashimoto's thyroiditis require medication?

Hashimoto's thyroiditis refers to the destruction of thyroid tissue by autoimmune cells. Therefore, during the course of the disease, three states of thyroid function can be manifested: hyperthyroidism, euthyroid state, and hypothyroidism. When the patient presents with hyperthyroidism, it is possible to treat with anti-thyroid drugs, but the dosage of the anti-thyroid drugs should be reduced. When thyroid function is normal, no special treatment is needed, and regular thyroid function testing is sufficient. When there is concurrent hypothyroidism, thyroid hormone replacement therapy is required to achieve clinical healing.

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Written by Li Hui Zhi
Endocrinology
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Does Hashimoto's thyroiditis affect pregnancy?

Hashimoto's thyroiditis, it is a type of autoimmune disease. Some people might have normal thyroid function, while others may develop hypothyroidism. Therefore, if someone with Hashimoto's thyroiditis plans to become pregnant, it is essential to test thyroid function before pregnancy. For patients with Hashimoto's thyroiditis, we recommend that the thyroid-stimulating hormone (TSH) should be controlled below 2.5 mIU/L before suggesting pregnancy, as this can prevent potential impacts on the fetus's intelligence.

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Written by Chen Xie
Endocrinology
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Does Hashimoto's thyroiditis cause fever?

Hashimoto's thyroiditis belongs to autoimmune thyroiditis, where the body's own antibodies destroy the thyroid follicular cells, leading to apoptosis of thyroid cells. As the disease progresses, it may lead to hypothyroidism. Generally, Hashimoto's thyroiditis does not cause fever. If a patient with Hashimoto's thyroiditis experiences a fever, it is necessary to exclude other infectious diseases. If a patient with Hashimoto's thyroiditis has a fever, especially if there is significant tenderness in the thyroid area, it is necessary to exclude the possibility of concomitant subacute thyroiditis. If Hashimoto's thyroiditis is accompanied by subacute thyroiditis, small doses of hormones can be used for treatment. (Please use medication under the guidance of a doctor.)

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Written by Li Hui Zhi
Endocrinology
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What are the symptoms of Hashimoto's thyroiditis?

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is an autoimmune disease. Its main manifestation includes possible enlargement of the thyroid in some people. If Hashimoto's thyroiditis is accompanied by hypothyroidism, symptoms may include general fatigue, constipation, bradycardia, and edema. If these symptoms are present, it is important to visit an endocrinology specialist promptly for further thyroid function tests, thyroid ultrasonography, thyroid peroxidase antibody tests, and other examinations to confirm the diagnosis.