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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hTe ennilxpaota yb eiylidegvrirnt psul het itapalnoexn ni eth artiecl otsdpe lowbe (/iiwm4th6t9wn.n:s/Cpec/oblw49/pct.a./l.McPs8rigvh9/mn) rea het ,sbte juts eden to eb nomedcbi .): eTh fdranefiteli isnoiagsd belta 1 (tp9mi.ae4o9tmocwel?g:/treLnhh8/4CvTolro1b.On1i-nbtB6M/y0tp1-//scMtnc=9cs.wP/plb/l-0jrae.4i/0wS) falslpiyceic iseenfiidt hte doiitcnon ni siht otinesuq sa apmsruottp trdistii.yho
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uauSbcte cptohmyyicl Socutiti biuersydtah ipohcmctlyy sdrityotiih si edrizaecchrat by megada to oclillaurf lescl hwit yicctylmoph naitntoliifr esiermlngb tomossH'hai ystitoiihrd ietands of amualgorn mfranio.ot sg: rDu eoinntf-αrr,e uhimti,l diermnao,oa eilieu-ntr,k2n netrisoy ieaskn ms minAttoiehbrnuiuoi eeaisds Pat uospmtr isdioiyrht:t affecst 5% of nemow rdngui het atoptsmupr iodrep nda is 3 eismt moer moncmo ongam onwem wtih tyep 1 stadeibe .lsmuliet
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$279$49sTih neo aws a tieltl tckyr.i roF thsi oen eht eyk is hte wol doaroeniiid u.kpaet isTh ttnpiae hsa hhgi T4 and wlo SHT iwhch kasem sesne in a irptyrehhoyd na,ietpt epsaprh yuor ftisr tgtouhh is hatt htis pntaite has arGe’vs adiees.s woe,ervH ni asr’Gve oryu idhoytr is gibne tmduiaelts to kame emro tyhrdio nrohmoe omfr cshtcar dna as schu owdul hvea an necidesra oianiodidre tpueak buseaec teh hydrito is bnngiirg in the quiererd n(wo eoeibrdlada)l oein.id siTh si why it si not sreGav ees“ar(le fo dhoryit rhomoen form a dyhrito ialtduesmt yb atbde.osii”n)
oS fi sti not va’seGr thaw uodcl it eb? rFo tish uyod’ heva to okwn htta Hhio’stsaom siorthdiyTi a(los onknw sa rhncCoi icmtLcpyhyo isytiriohdT dan si tneof rfdreeer to sa chus no boadr maxes ot ortwh you ff)o hsa ereth ahsspe - trsif eyht are yyh,phoetrdri then iutro,ydeh tehn the iscclas hhodyporiyt thta you ulwod tpexce thiw owl 4T dna hhgi SHT. iTsh asw eht kye to sith u.notsqie Teh nesaro ofr tish si ahtt tirithdynoa pexeioadsr isbdtneaoi ni Hstosoaih’m eacus eth oidryth ot eeersal lal of its erdtso othyrid rnoohme kngmia eht aeittpn horyydteirhp rfo a rshto dirpeo of eimt. eArft isht vasmies aeseelr fo doyrith ,noeomrh teh anioietdbs kmae emht nlbeua ot make ewn TH dan eftorereh htye ebcmeo odhtryuei rof a ohtrs irpdeo adn hnet ihhydroyotp ciwhh uyo dolwu x!etpec iSecn eyth c’tan kema nwe ,HT eht tdyhoir liwl nto taek pu het ioodidinare and etoerhrfe rehte illw eb lwo edrioinaoid t.ekaup c,eeHn e“eslare fo etords hrdoity ormhone ofmr a ryhitdo gandl aifltdnerti yb yteso”lpchmy. aka yLipto“mccyh shomta)(ihso ”i.ohtidstriy
I tkihn saeerl“e fo dtyhoir morehon rmfo a mmphuotaloys ihtryod ndlga” si firgeernr to oesm iknd fo irdotyh cacern in hchiw sace ouy loduw tcpeex hmet ot eb bncdsiregi a leundo no eriiiddoano kep.tua
mmyaSru devoi ereh nda aslo a aertg itse ni raen:egl nreires/miiroutnpt.dd:tsnch//i/gooedplnace/hoyqreead/
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