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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$279$49 65% OFFiTsh oen wsa a teitll ityck.r rFo shti eon teh yke is hte lwo deiniiaoord tea.kpu sihT netapti hsa hihg T4 nda olw STH hiwch makse ensse in a iyodrrhtpehy iae,tpnt speahrp oruy isrtf hhtugto is htat tsih nttaipe ahs aGsvr’e e.seadis w,Heorve ni ’ervGas oury otihdry is eigbn suteamtidl to emak orem yrodiht ohnmreo rmof trcashc and sa shcu uwdol heva na isrcenaed noiddaoriie etpauk usebaec het ohidryt si ingibgrn in eth ueerqird wo(n baidre)olelda .deonii sTih si wyh ti si tno evrGsa “selreae( of odityrh ronmhoe rfmo a todyhri udastitmel by .eb”nt)dioasi
So if tis ton eva’srG htaw lcduo ti e?b Fro hsti udo’y aehv to kwno that o’otaHhssim sytiirdThio sao(l onwkn sa croChin ctopyiLchym shrTtdyoiii dna is enotf eerdfrer ot sa uchs no bardo smxea ot whrto uoy )off sha heert ssepah - srfit ethy aer dhiyrth,oyrpe tnhe ytdrei,huo ehnt eht silccas dyhtprhoioy atth uoy ouldw pexcet wthi lwo T4 dan hihg .HST sihT swa eth eky ot hsit nstio.que Teh enorsa ofr shti si taht tnhdaiortyi xepoadseir siatbednoi in haooisHtm’s usaec the hidtyor ot eeeasrl lal fo tis soetrd ohtidyr oormneh iknamg eth tneipta itordrehyyph orf a ohrts proeid fo t.mei fterA sith asesvmi laeseer fo rhdityo n,orhmoe eth aboidnteis akme etmh aeunbl ot emka ewn TH and reeoehfrt thye obecem itdouyhre orf a sroth direpo adn hten yptooidyhrh hhiwc uoy oulwd peext!c Secin etyh ’catn eamk nwe TH, the irtydho llwi nto tkae pu eth ediidiaoonr nda tefrehreo teerh ilwl be wol oididoiaern k.tapeu ,enHce els“aree fo otresd rhodiyt emhoron mfor a oyidhtr dngal itrdentafil yb tmhc”.yeloysp aak ctyyLcp“mioh )sosh(tioahm iros.dytit”ih
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$279$49 65% OFF