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 is a ietatnp scea fo aopmsptrut dytihis.roti nCa aersi pu ot a ryea eratf eldiyerv nda has oytmiplychc tea.ftrlnii
hTe aonapnlxtei by ryilgviidetren spul eht alaetxnipon in the irtaecl stdoep bwole (ip.M96lns/ctcsho/wn4b.mnem/r9/tc/t.wCgvip9wP/.ila4:h8) are the est,b stuj deen ot eb dbcenoim :.) eTh afrliiefdnte aosdngsii laetb 1 (0nwBi4ii/-Pwyea9ems.rtt0vcb.lcl/1gmOL4.r/-onSctoj.11Cw9=cer8//9?6:p/onteo/Mn4/tThpabplMlst-b0h) ceylcilafsip sntdieiief the nioinoctd ni isth enosqtiu sa asppotmrut ohirtii.sydt
myal,teiUlt if oyu okwn htta tmyrihydsihoop sha a snrtiatne rhdorytisipyhem ahpes u(ed to euommuiatn ictunrtdseo fo eht lcesl ichhw ledyaar hda frdmoeerp HT nad os ti swa sdealree opnu c)turestnido eeobrf ihrsomthydpioy n(ninoitfnconug lcels so 'tcna akte pu ndio)ei dan hatt dirtoyhophmysi is a lctycmohpiy lgttriininfa tiioyhi,trsd ouy wlil onkw eth nsew.ra I adh a rahd item snnrteaugnidd this ta sifrt uaebecs ew euoltvie/saeangda desab on hte eprcense of in-TatPO ,Ab tub teh nidnguylre ehspitaeosng of the tihrdoy riutencsodt si acidtleedlme- e(tpy VI vyni)ihytipstrese ont Ab ieaetmdd p(yet II esrttpsniiyv)heyi leik egvs.ra Hthoissmao' = thpmoyclicy rnlfiitainot ihtw iengamrl setncre hc(iwh can atomsrnrf ot B cell m)ympohla twhi tehhlru elcsl n(rekip pyatlmcso llec)s.
aCn soeenmo lenaxpi the nefcefierd etweenb .C arlsee(e fo drtoes rtioyhd ooehmrn frmo a dtyriho ndgal lfrdineatit by ytemcpsl)oyh adn .D sl(eReea of yirhdto oermnho rmof a mooyhpmtlasu iohyrdt adnl.g
ws9nsr4oci6.9w./nb/h.t.4P8lhinmaitve9//pwt:M/cClmg/pc
odicgAncr to tihs papre, ttomrPpsua iiodyThrits ntsrpsee ihwt -PTianOt adsboeniti. heT swarne oheicc ssue yl.eshotpycm oS htis is a ratietsnn hsotmoaHsi mirsoetHh.riypyd dGoo ckuL hiwt atth o!ne
I inthk htta sicne eryh'te isgakn ofr an netnloapxai of hte i'tpensat rretcun xSS hwihc shsow htat s'hse in eht tetas of isTnrntae yHtershpyi:oidmr hhicw is due ot :C eaResle of dsetro oidtrhy omrneoh omfr a rdiytoh ngdla ianltdteirf by yomhtpeycls
uubceSat ymlhyoctcip teySdiiahursc otiubt tpcymyoilhc ttdiiysroih si aczcdehrtriea yb damgea ot uairlcollf clels tiwh cylpyhictmo ltitnonfiria snelrgeimb toissaohHm' hsdiiioytrt sadtnie of uoaamgrln iomonratf. sDu :rg ro,-αfeietnnr itiu,mlh mrai,ndaoeo -ekl2,eniunrit sonetiry aseikn Anumutr ihioebmoistni dseaesi a rspuotmPt otsityirhi:d ctefsaf %5 fo nwoem dirugn teh tpopumastr eproid dan is 3 isetm omer cnmmoo nmago mweon hitw tpye 1 eaestbid mlseiu.tl
submitted by ∗liverdietrying(111)
It can be re-accessed by making a purchase.
Purchase your membership here
$279$49 65% OFFhsTi neo saw a ltteli rktic.y roF hist eon hte yek si hte low didrnooeiia .akpteu Thsi iatnpte hsa ihhg T4 and wlo HST cwhhi aemsk esnes ni a ydhpieyhrtro nai,ettp psapher ryou tifsr htougth is htta htsi itanetp ash evsar’G sesad.ei ewe,Hvro ni vars’eG yuro rodtyih is gbine emiulatdts to mkea eomr rotdyih hoermno ofrm hatrccs adn as uchs wdulo vhea an edirecans iiinaoordde ptkuea aecebsu hte hytidro is gnnirbgi in eth rredique now( diale)leardob d.noiei Thsi is hyw ti si nto sGaevr e(es“rlae of iothdry hoornme mofr a iorydth uaetdimtls by da”oen)iit.bs
oS fi sit ont Gsr’eav awth lodcu it be? roF ihts u’ody vaeh to okwn htta soih’maostH triiodsTyih a(slo nwokn sa corCihn otchyicLpym ryhiTdioist and si fnteo efdeerrr to as husc on draob exmsa to owhtr ouy of)f ahs eethr aesphs - siftr they aer yrr,tphieodyh hnet tiuehry,do thne hte cacisls dyyiohhotpr taht uyo oluwd pctxee htiw low 4T dan ighh .SHT ihTs was teh eyk to htis usit.enoq Teh aernso ofr shit si ahtt oinhrtaytid xieepodsra teonisibad in thss’oomaiH cueas teh tyodrhi ot eesrlea lla fo tsi seotrd htdyrio hrmoeno nkmgia the itpaetn yieorhptydhr rof a hrsto oepdri fo time. fteAr shti ivamsse esaerle fo rdiotyh nohmeo,r het debntsiaoi ekam them baleun ot amke nwe TH nda eofhretre they ceoemb tyherudio rfo a trhso poiedr nad hetn ootripdyhhy ihcwh oyu owudl eetpxc! inecS yteh ’tcna ekma enw ,TH the yhdrito lilw not ekta pu eth randdiooeii nad oreetrefh heret will eb owl aieoriodnid uek.tpa nc,Hee e“rseale fo etrdos iyothrd neorhmo rfom a ihodytr dagln aintftdreil by eylts”pc.homy aka coymLhtic“yp tohhsa(som)i dytiho”siit.r
I inhtk raeels“e of oidryht omroneh ofrm a mypoulsamoht iydhotr ”dangl si frirgrnee to meos nkid fo toyirhd erncca in chwhi seca ouy oudlw ecpxet mhte ot be gcisdrebin a odnelu no arieidonoid k.upeat
muSarym oediv reeh and losa a great etsi in angr:lee rarpdenotiiem.ilg:ant/o//rneyctspuorieheqdcs//dne/odh
$279$49 65% OFF