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.
siTh si a napetti case of msupttroap d.htiirysoti nCa saeir up to a ryae frate liryevde nda has cptiyclyomh e.fnalritti
The tpanlnxaioe yb gleiryienvdtri plus het oxnlantapie ni het tilreca edtosp wlbeo (9s..9ainwt:l4..phn////lpc/gnotw689c4mhbCcit/MvwPrmesi) rea eth tsbe, ujst dnee ot be biodmcne :). heT eeintfafrdli sidsgaion tleab 1 (peclnrsTphn8atO?oCsecoc/./ng/9t.lMpnt1b.Lrhm/e:b/S9t49ojw=bt-PtllyB/c-M0i4-wivow6e4/ma/r1i0.10) ipaicyflslec isdiitnfee eht iootndcin ni hsit uqitones as topparutsm t.yrtodhisii
Uliat,ltyme if oyu wonk htta yomhryodstpihi ash a nttrsniea ipryrdyhmsteioh phsae ude( to otanmuiemu eisorundtct of the lsecl hcwih darlaey hda eorrpdfem HT dna so ti was ealrdese uopn rueid)tscnot eberof omhytpsyrdhiio nouni(gntnnofic slcel os ta'cn ekta up inie)do dna htat ishmrdpyyihoot is a toimclpycyh ntgiflinarti ishio,trdtiy uyo iwll kown het nwrs.ae I adh a radh tiem rgnneatisddnu isth ta tsrfi cseeuba ew /staluoaieeeanvgd abeds no hte esercnep of -naPOtTi b,A tub hte nlgnyerudi sgeisothnaep of eth ithyodr drtuceitnos si cla-tiedemlde p(yet IV intyivsphe)tseriy nto Ab datemide (ypte II reyvsnip)hsityeit klie ser.vga mtio'Hahsos = tmyccploihy ifntnalitori hiwt namriegl nrsteec ihh(wc nca frrmantso to B clle pyahmmo)l ihwt hetulrh eclsl repnik( mtpyaoscl cs.)lel
anC emsnooe naelixp the ffencedeir nweebte C. ersee(al fo sroetd rhydito hermnoo mfor a tioyhdr dngal fidnitrealt by )leytcymophs dna D. esel(Rae fo iyhrotd enmhoro rmfo a ohomuastymlp dhytiro gdan.l
mtaco4t.n/98nw./Mht/sip.i6iw:h9nls/P9lvmgwc/4c/r.bCep
crdcAgion to stih appre, aPumosrtpt iitisTorhyd pnstesre with Ti-nOaPt bnid.aoseti hTe wnears ceiohc esus ey.shtplomyc So ihts is a satnrntie sihtomsHoa drh.iHiompyyerst Godo cLuk hwti taht no!e
I nhitk tath siecn treye'h iangks rfo an aieaxtnlpon fo eth itn'astpe rtucner xSS hiwhc oswhs ttah shse' ni eth staet fo ersatTnni yordsetimhriyH:p hhwic is due to C: eRsalee of erstod otyrhid hronome romf a yhotdir ldgan dltaitrnefi yb yeyomtslpch
uaebtcSu hyitpcmoycl iidhtiae csrtotbSyuu ocpyyclhimt iiythosditr si cecriedathzar yb gaemad to cfruolilal llcse htwi moytpycclih tnfitloiiarn iregsmlebn tassmoh'oiH ttrioishydi nitades fo gaounrmla .fmionoart u:D sgr α,retfnei-nor iluimht, eoadmoinr,a ntlnu-e,r2kiie ostenyri neaisk ionumiirmn utieshAtbo seeadsi usa mtptPro hi:rdyitstio ctaffse 5% of enomw uindrg het tpsutaoprm iropde and is 3 times moer cmoomn nomga moenw hwti yept 1 etaebisd illt.esum
submitted by ∗liverdietrying(111)
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$279$49Thsi oen saw a ettill cki.ryt rFo tsih oen hte eyk is eth olw iiadodeonir etu.kap ihsT taneitp sah hghi T4 adn wlo SHT wihhc sakme sesne in a eprytrdyhoih e,atpitn phrepsa yruo sfrti httghou is hatt shit tipante sha sGva’er .ieadses Hree,wov ni reGvas’ yoru yhdtrio si eingb tueialmstd ot meka moer odyhtri oermnho ofmr stcrhca dan sa husc dwluo eahv na aecniesdr diairoednio ptauek eubscea eht irydoth si ibnrigng ni the rueerqdi own( dalldaorib)ee i.ndeoi shiT si why ti si tno aersGv ere(al“es fo rdtoihy oornmeh mrfo a odhrtiy tteimsaudl by aisdetb)in”o.
oS fi tsi tno ea’Grsv thwa olduc it ?eb For tihs ’udoy heav to okwn hatt mithooa’ssH sTiihdority o(als nnkow sa cCornih cicoLymhtpy drsiyiihtTo dan is tnefo ereefdrr ot as hucs on raodb asxem ot hwrto you f)fo ash reteh ehssap - ftrsi hyte ear hh,tirpreyyod neth eud,iroyht tneh the slciacs oihdrpyyhot atht yuo owudl epextc wiht olw 4T nad hihg .THS Tihs asw het yek ot hist nistoe.qu eTh sanroe for isht is atth iritnhdatyo pisdeaorxe sionteadib ni Hm’osshiato uesca hte iohrytd to elesrae lal fo ist tersdo rhidtoy noehomr angmki het ttainep ytrrdhiepoyh rof a ohrst dripeo of miet. etrfA thsi amssevi arelsee fo ihtydor rmehono, het snitiabedo keam meht ebauln to emka ewn TH dan efrreetoh yeth beoemc ihodytreu orf a short ipeord dna ehtn pihotryoyhd wchih ouy ouldw cteex!p nieSc thye a’tnc aemk ewn HT, eht dhyroit ilwl nto eatk up hte eodirdoiain and eefheortr rteeh lwil eb olw aeodniiroid tkua.pe enHce, aeleser“ fo tosred oydtrhi omnreoh rfmo a ryhtoid angld ariiteftnld by ”ct.smpyehoyl kaa poyLh“citymc aths(soohi)m itshyrdo.”iti
I htkin e“easerl fo hortiyd rhenmoo rmof a lmophsyoaumt yhrdtio algn”d si rgrifrene ot semo knid fo yidtohr acncre in hihcw esca uoy luowd epxcte htme ot be bnceisrdig a lendou on iianeddoiro aep.tku
Smaryum odiev ereh dan sloa a aegrt iets in elarn:eg e.lerrgoe/umodeenh/inq/io/dpdde:/ctiianhcrasor/sytnpt
$279$49