Hashimoto's thyroiditis natural history, complications and prognosis

Hashimoto's thyroiditis Microchapters
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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

Hashimoto's thyroiditis usually begins slowly and may progress to hypothyroidism. Complications include heart failure, lymphoma, and encephalopathy.

Natural History

The disease begins slowly. It may take months or even years for the condition to be detected. If untreated Hashimoto's thyroiditis may lead to muscle failure including heart failure and other features associated with hypothyroidism.

Complications

Complications that can develop as a result of Hashimoto's thyroiditis are:

• Hypothyroidism
• Hyperthyroidism
• Heart failure.
• Hashimoto encephalopathy
• Thyroid lymphoma

Prognosis

The outcome is usually very good. The disease stays stable for years. If it does slowly progress to thyroid hormone deficiency (hypothyroidism), it can be treated with thyroid replacement therapy.