Silent thyroiditis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Patients with silent thyroiditis may have the history of other autoimmune diseases such as SLE (systemic lupus erythematosus), immune thrombocytopenic purpura (ITP), and lymphocytic hypophysitis. The most common symptoms of silent thyroiditis are palpitations, tachycardia, nervousness, and tremors.
History and symptoms
History
Obtaining the complete history is an important aspect of making a diagnosis of silent thyroiditis. It provides insight into cause, precipitating factors and associated comorbid conditions. A complete history also helps to determine the correct therapy. Specific histories about the symptoms (duration, onset, progression), associated symptoms, drug usage may be obtained. Patients with silent thyroiditis may have the history of other autoimmune diseases such as SLE, immune thrombocytopenic purpura (ITP), and lymphocytic hypophysitis. Patients with Cushing's syndrome may develop silent thyroiditis after the cessation of steroid therapy.
Symptoms
Silent thyroiditis usually presents with the symptoms of hyperthyroidism or hypothyroidism. The symptoms of silent thyroiditis include the following:[1][2][3][4]
Common Symptoms
Common symptoms of silent thyroiditis include:
- Symptoms of thyrotoxicosis
- Symptoms of hypothyroidism
Symptoms according to the disease stage
Silent thyroiditis usually causes hyperthyroidism in its acute phase. However, it can also cause hypothyroidism in some cases.
Hyperthyroidism (in acute phase)
Silent thyroiditis usually presents with the symptoms of thyrotoxicosis.
General
The patient may have the following general symptoms:
Gastrointestinal system
The patient may have:
Cardiovascular system
The patient may have:
Neuro-psychiatric system
The patient may have:
Skin and appendages
The patient may have:
Hypothyroidism (in later stage)
The symptoms of hypothyroidism may develop in the later stages of silent thyroiditis during the recovery of thyrotoxicosis.
General
The patient may have:
- Fatigue
- Lethargy
- Cold intolerance
- Myxedema
- Weight gain
- Weight loss
- Migraines
- Puffy face
Gastrointestinal system
The patient may have:
Skin and appendages
The patient may have:
Neuro-psychiatric system
The patient may have:
- Depression
- Difficulty concentrating or thinking
- Mania
- Memory loss
- Panic attacks
Reproductive system
The patient may have:
Musculoskeletal
The patient may have:
References
- ↑ "Thyroiditis — NEJM".
- ↑ Walker P (1984). "Silent thyroiditis". Can Fam Physician. 30: 1337–9. PMC 2153523. PMID 21278944.
- ↑ Samuels MH (2012). "Subacute, silent, and postpartum thyroiditis". Med. Clin. North Am. 96 (2): 223–33. doi:10.1016/j.mcna.2012.01.003. PMID 22443972.
- ↑ Xu X, De Pergola G, Björntorp P (1990). "The effects of androgens on the regulation of lipolysis in adipose precursor cells". Endocrinology. 126 (2): 1229–34. doi:10.1210/endo-126-2-1229. PMID 2153523.