Subacute thyroiditis
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You are here: Home » Pathology Notes » Subacute thyroiditis
diagnosis
acute phase: ↑FT4
late phase: ↓FT4
123I uptake is very low in these patients
red cell sedimentation rate↑
elevated interleukins
therapy
initial phase: antiinflammatory: aspirin, ibuprofen, prednisone
ipodate: inhibit T4 T3 conversion
hypothyroid phase: T4 replacement
usually transient, so you can slowly reduce the dose
Postpartum thyroiditis
second phase is particularly devastating
25% become permanently hypothyroid
Category: Pathology Notes
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