Thyroiditis

Abstract

Thyroiditis is an inflammation of the thyroid gland that may be painful and tender when caused by infection, radiation, or trauma, or painless when caused by autoimmune conditions, medications, or an idiopathic fibrotic process. The most common forms are Hashimoto’s disease, subacute granulomatous thyroiditis, postpartum thyroiditis, subacute lymphocytic thyroiditis, and drug-induced thyroiditis (caused by amiodarone, interferon-alfa, interleukin-2, or lithium). Patients may have euthyroidism, hyperthyroidism, or hypothyroidism. Diagnosis is by clinical findings, including the presence or absence of pain, tenderness, and autoantibodies. Treatment primarily is directed at symptomatic relief of thyroid pain and tenderness and restoration of euthyroidism. In this article we review the diagnosis and treatment of the different types of thyroiditis.

Keywords

• Thyroiditis
• Chronic lymphocytic thyroiditis
• Subacute lymphocytic thyroiditis
• Acute thyroiditis
• Subacute granulomatous thyroiditis
• Riedel

Tiroiditler

Abstract

Tiroit bezinin inflamasyonu sonucu oluşan tiroiditler enfeksiyon, radyasyon ve travma ile olduğunda ağrılı ve hassas, otoimmün olaylara, ilaçlara ve idopatik fibrotik sürece bağlı olduğunda ağrısız olurlar. En yaygın formları; Hashimoto hastalığı, subakut granülomatöz tiroidit, postpartum tiroidit, subakut lenfositik tiroidit ve ilaca bağlı (amiodaron, interferon alfa, interlökin-2, lityum) tiroiditlerdir. Hastalar ötiroit, hipertiroit veya hipotiroit olabilirler. Tanı ağrı ve hassasiyeti içeren klinik bulgular ve otoantikorlar ile konur. Tedavi esas olarak tiroit ağrı ve hassasiyetindeki semptomatik iyileşmenin ve ötiroidizmin sağlanmasıdır. Bu yazıda çeşitli tiroidit tiplerinin tanı ve tedavisini gözden geçirdik.

Keywords

• Tiroiditler
• Kronik lenfositik tiroidit
• Subakut lenfositik tiroidit
• Akut tiroidit
• Subakut granülamatöz tiroidit
• Riedel tiroiditi

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