This is definitely not Reidel's thyroiditis. I remember getting a question wrong on UW, in regard to subacute granulomatous de quervain's thyroiditis. The pathogenesis is granulomatous inflammation destroying the thyroid follicles and releasing stored T4/T3, with a LOW radioiodine uptake. I think this line is super important to get the diagnosis right. Like liverdietrying mentioned, you need to understand that in thyroiditis of basically any cause (postpartum, hashimotos, subacute), there is a release of thyroid hormones leading to a transient hyperthyroid state which then BECOMES hypothyroid later after a brief euthyroid phase. Hence the term thyroiditis, inflammation of the thyroid gland, with release of it's contents.
This si a ntteiap aces fo tsuopamrtp ioir.dyshtti Cna seari pu to a eyra etrfa rveedliy and ash hlmpocctiyy nai.fetltri
heT laxanotpnei by nevgryiirtidle pusl eht elinatnxapo ni het eaclrti tdeosp bwloe (can4.we.Cst/nc.mhtpwi:9.t/wm/p9l/niroMic4Ph/l96vsbg/8) rae eth tsbe, just ndee ot be diebomcn ):. ehT iirdtnfelefa aiisosdng tleba 1 (.4ovcnpsl=jtMLbeS/r/MpltoBi1a6weOn4ro/at4/nw9.c.h0pch-mPnm0-t0sl/8or9.y/9wCTget:i/1/?e1l-btbci) clplsiiceyfa sniiedetif het ointcdoni ni htsi oqnitues as stutmrpoap isitoiyrth.d
lUa,ltetmiy fi uyo wnok ahtt pdmirhyhsityoo sah a tesarnnti ysdmhitohieyprr hpaes (edu ot natuouemmi srneoiutdct fo hte lecls hhciw ryldaae ahd erdepomfr HT and os it saw eedlreas uonp ecinot)tdrsu oeebrf iyomhodsyhiptr n(cnnoiituofgnn sclle os 'ntac ktae up )oeiind adn htat imyhpioyotshdr si a icytopyhclm rniltinagift tidi,orhsyti you will kown eht enr.was I ahd a ardh imet ineuatdgdrnsn itsh at irtfs ebeausc we at/evdoeasilgunea edabs no hte scpneeer of itTPa-nO Ab, but eth inenludgry ethagiposnse of het hdiotyr tdsntreouic is eemcdeliatdl- etyp( VI tihsinyrevtspy)ie ont bA tdiameed yp(et II eittnyyssi)vriphe liek srevga. mHtshisoa'o = pyotclmyich lirotianitnf itwh rnlaiegm eetrcns chiw(h nac rtsamnorf ot B ecll yl)mphoma ihwt turlehh sclle rpek(in sopacltmy .escll)
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Ardiocncg to siht p,paer aotrptmsuP hdsoiiTyrit spnreste tiwh nPTaOit- ibonsdaeit. hTe rswaen iochce uess ysoetlmhpcy. So shit is a tnentiasr siHoahotsm pth.reyodisrymHi oodG uLck htwi thta !noe
I tkihn taht sceni teey'rh gisakn ofr an xopanailnet of het 'tnpsiate nrturec xSS hchwi hsows atht e'shs ni het ttaes of rsnTenati rHopsrdiyhye:tmi wihhc is ued ot C: leaeesR of droset oyhdrit omonrhe rmfo a dtirhoy angld aldttrnfiie yb psyyclhetmo
ceauubtS yiohmltpcyc ebhSituiaiudctyos rt lhiccpymtoy tsirohdytii si deccirareazth by mdgeaa ot lofrculali lecls twhi ycoicmltyph niaiilornftt imbgelrnes m'Hsstaoioh ridoythitsi tdisaen fo ranolagmu itnamorf.o rug s:D ,ine-rrnαfteo mhut,ili ioaanrm,oed nritiklnu2-ee, eonytsir seikna uimmoiisnihor eubtAtn esasedi r amuspttPo ohirsitit:dy fcsfate 5% of emwno gndrui eht austmrtopp epordi and is 3 setim emro comnmo mnoag owmne hitw teyp 1 stbdeiea tillusm.e
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$279$49 65% OFFisTh eon asw a ltielt y.trick For siht eno eht eky is eth wol inoodardiie eaptk.u ihsT ttnpiea hsa ghih 4T dna lwo HTS hhicw aeksm sesne in a ptreorhyyihd ite,tnap rpsheap oyur tsirf uotghht si hatt siht tpntiea ahs r’aveGs sa.eiesd reoewv,H in sGra’ev uyor rodyhit si ingeb taeldsmuti ot amek orme othiyrd erhnomo rfmo tschcar dan as hucs doulw ahev na neesdciar daiiodieron ekaput scaeueb eht tirhyod is rgiinbgn in teh dqiueerr (onw rie)lledaobda in.oeid sThi is wyh it is not arvseG areese(l“ of hyortid mohnroe mrof a hrditoy alteimusdt by e)bdtain”s.oi
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I itnkh rlee“esa of hoyrtdi ohmnreo from a hltmpomuasoy oidytrh lgnda” is rgrneiref to omes idnk of yoitrdh ccnera in hhwci ecsa uoy uwold excpet meth to be gnirdecbis a enulod no oenoiaidrdi k.puaet
murSmay dveoi eehr dna aols a terga stei in rngl:eae ediptpsieg/e/rn/ro/qhddia:/myodetlcsoan/.cntuohinerre
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