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 Endocrinology

Painless (silent) thyroiditis

Painless (silent) thyroiditis

Thyroid gland
Thyroid gland

Definition:

Painless (silent) thyroiditis is an inflammation of the thyroid gland characterized by passing hyperthyroidism, followed by hypothyroidism and recovery.

Alternative Names:
Lymphocytic thyroiditis; Subacute lymphocytic thyroiditis
Causes, incidence, and risk factors:

The cause of this type of thyroiditis is unknown. The disease affects women more often than men and usually develops in people between age 13 and 80. The symptoms are those of hyperthyroidism (overactivity of the thyroid gland), and may last for 3 months or less.

Symptoms:

Symptoms in painless thyroiditis are usually mild. Most symptoms are due to hyperthyroidism and may include:

Signs and tests:

A physical examination reveals an enlarged thyroid gland. The pulse (heart rate) may be rapid and the hands may shake.

  • Radioactive iodine uptake is decreased.
  • Serum T3 and T4 are elevated.
  • A thyroid biopsy shows invasion of lymphocytes (a type of white blood cells) into the gland. 

Review Date: 1/18/2006
Reviewed By: Nikheel S. Kolatkar, MD, Clinical and Research Fellow, Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Review provided by VeriMed Healthcare Network.

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