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 think ahtt inecs ertye'h kiagsn orf na nitpanxeola fo hte tansp'tie rrcteun SSx ichwh owssh ahtt sshe' ni the staet fo Tsiatennr Hipyysdt:ormihre wihhc si ued ot C: esaRlee fo desrto yrihtod mnreoho fmor a itohryd ngdla itrfaitendl yb mphtlyyesoc
uaSbtceu ihpcocylymt iturhiyscttad uSboie ciopcmylhyt isrhiiydtot is acitdcrerheza by adgeam to llcfraloiu escll ihtw icymlhcypot aottnfriinil elsnbegmir aoHtmsshi'o ihtoidyrsit dtesnai fo ongamulra .aomnortif : Drugs eetnrno-r,fiα hiitlm,u damoianreo, -ueiiertnn,2lk oytiners esikna um mitriueAsnohontibi sisadee Pusamrpott it:shitiroyd afecfst 5% of mweno iurgnd teh topumrpats dioepr nad si 3 itsem rmoe nmocmo naogm mewno twih epyt 1 abetdise it.lslume
submitted by ∗liverdietrying(111)
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$279$49ihsT oen asw a titlle t.yikrc roF isht noe hte eky si eht lwo nodoiierida tkupae. shiT neattpi sah ihhg T4 dna low HTS chiwh eskam esnes in a eihrdytrhoyp napi,ett sehprap uroy ftrsi gtotuhh is htat isth atepnit ash eGvasr’ id.asese ,ovewHer ni sae’Gvr uyor iodtyhr is inbeg tmedutlais to akem rome riyohdt neorhmo mofr tarchsc nad sa suhc owlud vhae an desnarcei rdinieoidao eupakt eabseuc hte rdhoity si ingbnrig in the edrruqei o(nw abaoeldi)lerd odnii.e ihTs is why it si ont Garesv lr(esaee“ of iorhdyt mreonoh fomr a torhdyi udseialmtt by diesntbo”i)a.
oS fi sti ton Garve’s ahtw loucd ti b?e roF iths u’ody hvea ot nowk ahtt ’mitsHoohsa iyTsthdriio lo(sa nokwn sa ncriCoh hyomiLctcpy iTdtyoihrsi dan si onfte freerder ot sa hcsu no daorb meaxs to thrwo uyo )ffo sah etrhe haseps - tirsf ehyt ear oredhipyrh,ty neth yio,turehd tenh het scacsil hhyrpityood ttah ouy dulwo cxetpe iwht wlo 4T and ihgh S.HT iThs was het yek to tshi to.iusnqe eTh eaosnr rfo shit si that rdttoiiaynh xreeisdoap tadiobiesn in mas’iohtoHs eaucs het hoyrtdi to rselaee lla fo tis ordets dhtiroy enhorom agikmn the ptaeint eirdhyyohrtp ofr a rtsho oedrip fo .emti teAfr hsit vieassm srlaeee of yhirtdo onohme,r eht aiitndseob kaem mthe laenbu to kame wne HT nda eethoferr teyh eomcbe ideutoyhr orf a srtho dipero nad hent hopyrytidoh hiwch ouy doluw xtec!ep Sncei ehty ’atcn make ewn H,T the otydihr lliw ont eakt up eht iiadidrnooe adn reotherfe eerht lwil eb olw raediiiodno a.puekt ,neHec eesrlae“ fo roteds irtyhod nhermoo mofr a hitydor gnadl tnifrtidlea yb ty”.colhympse aka ythmpLo“icyc h(omstahi)os ”t.tidrisiohy
I iktnh “elrsaee of yoithdr oemrhno mfro a tpuyashmoolm rtyoidh d”lnga is ereirfgnr ot omse nikd of odtirhy rnceac ni wcihh csea uyo wloud eptcex hmte to eb ceigidrbsn a uldeon on ioredonaidi utpae.k
rSmuaym eovdi ehre adn oasl a rtgea iets in ela:engr aghottnrrrc/inuo/yn/riee/dnpi:oeiqdheeds.polda/tes/mc
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