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.
This si a pntaeti csae fo trosmtaupp othi.syirdti Cna earsi pu to a year faret lvyieerd nad sah ycoimctlpyh .nfearittli
Teh eatpanlxnoi yb lnrridviegetiy pusl eht lnetpxaaoin ni hte aleritc poteds loewb (89o./h4/l/s649tpCicwMPgwv/nsra/t:t..nbpncem.w9/ilihmc) era het b,tes tusj nede ot be menicobd .): eTh ltenfdfiirae aginossid btael 1 (tPs4pcrot9m4en/pc0e89M/wriybt-.Onj/ept:r.e1n0wiahh0?c../lbwalio1cBloTo6lm1tC/Mgb/=vt4-s/9/S-Ln) efpiccslaily defeisitin the odnonctii in htsi nitqueso as ptsrtauomp iiithtdoys.r
Ulmaltity,e if oyu wkno atth hrtodiimshyopy sah a snieratnt riserpmyihhdoty ahpse du(e to miontaemuu srduneicott fo hte ecsll wcihh edrlaya had redpfrmoe HT dna so it was eradslee poun dticsetn)uor ebroef imhpoidhryotsy igonutnnnco(fin escll os c'tna taek pu )ediion dna that hootihsidyprmy si a yplyhmticoc rlgnfiiantti yohsirtdi,ti oyu illw owkn eht aw.resn I dah a hard eitm idnnteagundrs tsih ta rfist ebcseua ew e/ltnoaeaisgauvde esabd on eht ecnrpees fo tTP-Onia b,A utb teh gnldyrineu gtaehsoensip fo eht hdiyort ttcusoiernd is tlca-meeldied (yetp IV eheirysits)tiypnv ton Ab dieedmta tpye( II )tiyshiytrvepisne kiel rgev.as tm'Hsshooia = ylmhytccipo nftniritolai whit ielrnmag tcreens (hhcwi anc starmnrof to B cell lopa)mmyh ithw hrlhute llsce epinrk( csopylamt clle.s)
Can noeosme paixeln hte enredceffi eewtben .C ereslae( of otdrse yiodrth onhroem ofrm a yhdroti ladgn riefttladni by tpel)ymhoycs nda .D eRe(lesa fo ryithdo enmhoor omrf a mouosmhalytp tdohiyr l.adgn
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cAondirgc ot tsih epr,ap Ppurmttaso disiytroTih essrpten hitw tOnaP-iT tsiidoe.anb eTh rwesan oicceh sesu l.thomsyypce oS isht is a tsentnira miHhsoosta eiirtysyHmorpdh. Good uLkc twhi taht e!no
I tkhin taht ncise teehy'r giskna ofr na eaatnpiolnx of het aet'snipt rcrentu xSS ihwch ohsws that sse'h ni the satet of nTsanteri Hy:pmysoidritreh whhic si edu ot :C aleesRe of srteod dorithy henomor rfmo a dtrhioy nalgd ildrtietnaf by clsopemhyty
utbaecSu cyhocmlpyit buyShetctstiduroai i lchicmyytpo tidyishorit si ccarhdeiezatr by maeadg to iualflolrc lcsel hwit coptiyymlhc nilrfoiintat enilgmrseb stHohimo'sa rdttoishiiy dtneisa fo aarngulmo n.tmfioaor u rg:Ds -trorαfinnee, tlim,ihu eadmno,oari knr2nu-l,itiee rtysoein isneka itinb iemunrmstouAoih ideeass routmPpt sa syidi:rtioth fectsaf 5% fo monwe irdung het tptmpsoura piedro adn si 3 setim rmeo nommco amngo wnemo wiht ptey 1 eaidetsb .uetlsmli
submitted by ∗liverdietrying(111)
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$279$49iThs oen swa a ttleli rtk.icy orF this eno eth eky is teh low daiiodieonr .atpuek iTsh tentipa sha hhig T4 dna owl HTS hciwh ekmas esesn ni a pryhetrihdyo a,ptenti ppasehr ruoy first othhtgu is that hsit ttpiane has seravG’ eseasd.i o,eervHw in seGva’r rouy hditroy si giebn ausiletdmt ot akem mero odrhiyt mhnreoo morf tchacsr dan as ucsh dowlu veha na dicasrene radnoieidoi pekaut eeucabs eth dhtyoir is nirginbg in eth rqeruied wno( )oaaeddrbilel niedio. sihT si why ti is ton areGvs ee“er(las of oyhitrd oornmeh rfom a tryhdio tiedtalsmu yb ent)idi.oa”sb
So fi sti not ve’sraG what cludo it ?be Fro thsi uyd’o aveh to nwok htat m’aiHsshtoo tdiTsoiiyhr sla(o nnkow as ncroiCh myicptcyLho oiitdhsTryi and is tneof erererdf to as chsu no rodba saexm to twhro yuo fof) ahs reeht ahseps - rtfsi hyte are ioeyrphdyhr,t nthe uotirhe,dy tehn teh ialccss rohoipdyhyt tath yuo olwdu ectexp itwh wol 4T nad hhgi THS. hisT was eht yek ot hits entu.siqo The ornsae rfo sthi si thta doatriynith irepxdaeso itbandoesi ni Hahoss’tomi aucse eth ryiohdt ot laresee lal of tis etodrs ydihrot rnoomhe gikmna hte epinatt hrtdyrhypeio ofr a rstoh iopred fo eti.m tferA ihts esmsavi eerlase of htorydi eh,onmro the ntasdoeiib ekma hemt eulnba ot kmae enw TH dan efhrorete etyh obcmee iyoehrutd fro a trosh dpoeri dna htne toyypdhoirh ichhw yuo dwulo pxtce!e Secni htye an’tc eamk new T,H eht oyhrdit lwli nto ekta up hte eidrndiaioo adn hreetroef reeht lwli be low einaoirddio tauk.ep ec,eHn ee“laser of ortsed oiythrd ehoomrn mrof a tiyhdor gdaln dtfeinlrtai by tceopm.hsyy”l kaa icytcmohLyp“ mhsh)(tooais ihordt”yt.iis
I thikn elsre“ae fo dhrytoi nheorom mfor a styloaomhpum tyrodhi ndag”l si igererfrn ot esmo kdni fo dotrhiy naccer ni hciwh case yuo olduw cexept emht ot be bsgcirdeni a udonle on oeariidniod ut.kaep
mauSyrm deovi eher dna olas a eartg etis ni re:alnge idruehteceltp/ynnseit:eie/ooornh/dspgao.c/radmi/d/rnq
$279$49