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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Uylmati,lte fi oyu nwok ttha hmiyoospdtyrih ahs a erstnntia ydehrpmoshyiirt apseh (deu to umunmaioet unrsetcdtio of teh cllse chhwi yleaard dah erefomrpd HT adn so ti saw leearesd uopn nidttures)co robefe hoimtyydipshor nn(nocfontgniiu slelc os 'tanc ekat up i)oiden dna ahtt iyoophrdyhsmit is a ccoilyhptmy itinagifnrtl i,odhsitrtyi ouy will wonk eth .wsaner I hda a hdra eimt rusangiddennt stih at rsift saebceu ew euvgaoaent/saledi edbas no teh nepesrce fo TtO-iPan A,b utb teh nyeinruldg neospsghiaet fo eth diyhrot tsrdntiuceo is medeiecdta-ll etyp( IV stsiyhinpetrv)yei not Ab ediemdta t(pey II yiyptitrsne)ihsev ikle vg.easr o'htHsiaoms = htyyciopclm altnniofiirt wiht raligemn resecnt (ihhwc anc rmsnofatr ot B elcl ymhampol) whti uehtlhr lselc pirnk(e plmtscyao .cll)es
anC mnoosee xnlipea eth fdrefneeci tweenbe C. aleres(e fo rsotde rythodi mhroneo mfor a ridhtoy ndalg ilndirattfe by )ltpycsheomy dna .D eselRea( of dyoriht eohonmr rmfo a opylmohumtsa othrydi gnadl.
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cidrogncA to hsit perpa, tmPuroatps dhrtyiioTis tenssrpe tihw itnOaP-T eansoitdb.i hTe rsanwe cohcei seus t.oyplmeychs oS this si a srninttea hHisomsoat esh.rHptriymidoy dGoo cuLk iwht ttha eon!
I itkhn ttha eicsn eeth'ry giskna rfo an plinaeoatxn of eht n'etasipt ucnrert xSS cihwh oshsw hatt hs'es ni eht staet fo tsTaniren ririoypHdhm:esty ihhcw is ude to :C Reeasle fo tsdoer iydthor ornhome ormf a tyhdiro dglan itarlinedtf by ypecmsltoyh
ctauueSb oclmthycpyi codSaubrittetusih iy yypiomtlchc iitsytoridh is cetzhariradec yb aeagdm ot rclolaflui llecs hwit ytiycocplhm tiointilfnra bgmelsrnie Hotsaihoms' shtoridiiyt stnaide of uoamlnrga no.mtoafri :s Dugr nαfr-ione,tre ,hlimuit ona,emodair lii-,tr2ekennu esnryito skiaen breimtmihouioAt iusnn esdaise rptmos Paut drtisiot:yih tfafesc 5% fo noewm niudgr eht puasttoprm iodrep nda si 3 estmi orme oncomm mngao nwoem ithw tepy 1 ietbsdea leislum.t
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$279$49Tshi neo aws a teitll tcir.yk oFr tihs eno the eky is eht lwo idaoidrnoie kpue.ta Tihs inaptet sha ihhg 4T nda lwo TSH hiwhc mkesa ssnee ni a iehrydyrphto itnat,ep eharpsp uyro rtisf thtgohu si tath tsih tnipeta sha vsre’aG di.sesea eoerH,wv ni eGavr’s ouyr tdryoih is geibn dtlesumtia to amke moer yidhotr oenormh from rshatcc dan as hsuc udlow vaeh an nadeiecrs rniiadeiood teuapk uebasec the iodyrth si nignrbgi ni eth qrreeudi (onw dal)eeodralbi i.dione ihTs is wyh ti is otn aevrGs ar(el“ese fo htydior onormeh romf a hyrodti lduasetmit by tn)”eidbiaso.
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I tknhi “eaelrse of odiyrht eroonhm form a atmosyumohpl thrydoi lga”nd si rergifner ot omse idnk of yoridth necarc in cihhw aces ouy luwod etepxc ethm ot be sbcngrdeii a loeund on anreiiddoio akt.uep
armmuSy oevdi here nad aols a getra stei ni rn:eegal nquecetdad/eoc/rl.emhi/aep:ehiigrrtsdt/posrnnooyd/n/i
$279$49