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.
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I tinhk atth cesni th'ryee ksanig rfo na aptnxnoleai fo eht intsapt'e rtnruce SxS hwhic shosw hatt s'hse ni eth aetts of rTtnnseia ymr:eipydroHtshi wihhc si edu to C: elesaRe of sdtreo yrdtioh roonmhe rmof a irdtyho lndga natldiietrf yb ymlsophetyc
cSbauetu cmyhltypoic iuca dbysiSotutirteh iccophytyml yirhidottis is ezatricehcadr yb dageam ot aliocuflrl slcle whti pyohcyiltmc iiorftatniln lnerigsmbe sohHs'miaot siiidhyrott taisden fo lnaogarmu mtoornfia. :Dgsru nf,r-eeronitα iulmh,it irm,oodnaae l,turneikei-n2 sryioten asenik uiit tAsnmiimobhunoer edsaesi sttpmParu o d:oshtiirity cfftsae 5% of nowem dniurg het pttompuars epirod dan is 3 iesmt mreo mncomo aongm eowmn itwh pety 1 eatsdebi tl.muilse
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$279$49 65% OFFsThi one wsa a tetill tiy.rkc rFo thsi eon eth key is hte wlo eoidaodinir pue.kat Tihs aipntte sha ihhg T4 adn wol STH hchiw skmea eenss in a iehrpythdryo ptn,iaet pehsrap yuor sftir ougthht si atth thsi neatipt sha sr’Geva deiseas. ver,wHoe ni r’esGav oryu ihytdor si gineb idealtsutm to kaem ermo yrodith oehnmor morf thrscca dna sa ushc dulwo veah na encrseida ieodoidnair apkeut ecuesab eht torhiyd is ignbrign ni eth rqueidre o(wn lbaadoidre)el nio.eid Thsi si ywh it si tno saGevr (lseer“ea of rthiydo nomorhe mrfo a dyrtioh dimtslauet by eosnbii”.t)da
So if tis ont as’revG what dluoc ti ?be oFr itsh do’yu ehva ot kwno htta i’sHthaooms iidyhrToist sla(o nnkow sa nroiChc thociycpyLm iTitdrosyhi nda is oetfn reefrred ot as hscu on bodra aexms ot ortwh you ff)o hsa heert pahsse - tfsir htye rea ,phirrydtyheo nteh utdriho,ey ehnt het caslcsi ohtihdpyryo that yuo uwold cextep ihtw wlo T4 nad hhgi .STH iThs saw the eky ot tsih q.utosnei hTe nsaeor rfo ihst si hatt hdtrioiynat rpeiexosad sntabdeiio ni isHatmo’hso suace eht yhidort to elraees lal of sti esdtro dotyirh hoorenm ainkmg eht ptaenit hrropiydhety rfo a rhtso deirop fo tm.ie eftrA hsit aiemvss reealse fo tiyrdoh on,hrome het dobietasin emak them benaul to emka nwe TH and rfeehrote yhet eecmbo dtuoihyre fro a htros ieprod dan nteh torhyypiohd chhwi yuo udowl xtcp!ee nSiec hyet antc’ ekma enw TH, the rythido illw ton ekta pu eth idieodaniro and erehrotef ethre lwli be olw dioadnoiier pkeau.t e,ceHn r“easeel fo tdeors rdythio nrheomo form a rtyoidh alndg atrnfiliedt yb ”ylhstpc.eyom kaa hcympycLtio“ o)so(hitmsha yist.ioht”ird
I nkhit elesae“r fo iorythd nroohme mrfo a mhooptmslayu tohydir ”dagnl si ngefrierr ot meso kidn of hrydoti cnraec ni hwcih asec uyo wldou peectx etmh ot be cbsgendiri a ednolu on diaooiirdne aukp.et
mSuryma iovde rehe and osla a rgaet tesi in nl:rgeea nl/aonid//oteoodehtd/d:gim.r/cesuyqreenrsatrehn/pciip
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