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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$379$49iTsh eon saw a leltti tiykrc. rFo tshi eon the kye is eth wol ioridadinoe eupk.at sTih entapti has gihh T4 dan lwo TSH hwich esmka sseen ni a hdytiyhprero nptaeti, hapepsr oyur rifst tothugh si ttha hsit iaenptt sha ’aGevrs iedss.ea eHoerwv, in vr’eaGs uoyr hytroid is gbeni tsimutadel ot kema rmeo dtyrhio oomenhr fmro artcshc adn as hcsu luodw vhea an idrecaesn irddooieina tekuap abeesuc teh dorthiy is igginnrb ni eth qureider o(nw ordbielldae)a ind.oie hTsi is hwy ti is otn rasevG (reeas“el of itydroh oerhonm ofrm a ydohtri imtasdletu yb eindboa)s”ti.
So fi tis tno raGv’es thwa uolcd ti e?b roF hist ’oduy have ot oknw hatt ’hiosHmtsoa ydioihriTts (laos nokwn as hrocniC ohLctympiyc itTohiidrys nad si fotne erfrrdee to as chus no board amxes ot wtohr oyu of)f sah eehrt apsesh - tfirs teyh era pyohhdeyirrt, tenh o,itdhryeu nteh teh iclassc iytyhpdrhoo ttah you woudl tecxpe itwh wol 4T nad hghi S.TH hTis swa hte eyk to sthi ostqueni. eTh naoers rfo iths is taht ainrtihotyd eiparsdxoe tnibeidosa in mHtoha’ssoi uasec eht dhoyitr ot leereas lla fo sti etosrd oihtdry ronmeoh angkmi eht tpnaite yrrheoityhdp orf a rtosh idpoer fo .etmi etrfA sthi ieassvm eeerals fo htyirdo hem,onor eht iteaoibsdn mkae ehtm nlaueb ot akme enw HT nad fheoeretr yhet eeomcb yuiredoth orf a sohtr odiper and ethn dhhytoiypor ciwhh yuo uowld !xeecpt ineSc yeht cant’ akem ewn TH, the hyoditr lwli otn keta up teh oiiraneiddo and eehfrorte rteeh illw eb lwo iadeioordin autpk.e en,ecH “slreeae fo eotrds hrodyit nomerho mfro a rthioyd angdl itlratnefid by ”mestcy.lphoy aka tLc“yyhmcipo t)ihshsmaoo( si”oiti.ydhrt
I iktnh easrlee“ of trhidyo omneorh rfmo a mtoosphayulm thridyo gld”an is igrenrfer to oesm indk fo drytoih ncarec ni hihcw cesa you ulwod eectxp ehmt to eb erigbidnsc a eonudl no odneiodirai ktu.pea
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