無痛性甲状腺炎
WordNet
- having a frequency below or above the range of human audibility; "a silent dog whistle"
- marked by absence of sound; "a silent house"; "soundless footsteps on the grass"; "the night was still" (同)soundless, still
- implied by or inferred from actions or statements; "gave silent consent"; "a tacit agreement"; "the understood provisos of a custody agreement" (同)tacit, understood
- not made to sound; "the silent `h at the beginning of `honor"; "in French certain letters are often unsounded" (同)unsounded
- inflammation of the thyroid gland
PrepTutorEJDIC
- 『音がしない』,静かな / 『沈黙の』,口に出さない;音をたてない・無口の・《補語にのみ用いて》(…について)意見を述べていない,触れていない《+『about』(『on』)+『名』》 / 活動していない・(映画が)無声の・(文字が)発音されない・無声映画
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/01/20 14:46:50」(JST)
[Wiki en表示]
Subacute lymphocytic thyroiditis is a form of thyroiditis that is also known as silent thyroiditis or painless thyroiditis. Subacute lymphocytic thyroiditis may occur at any age and is more common in females. A variant of subacute lymphocytic thyroiditis occurs postpartum - postpartum thyroiditis. Both of these entities can be considered subtypes of Hashimoto's thyroiditis and have an autoimmune basis. Anti-thyroid antibodies are common in all three and the underlying histology is similar. [1][2]
Contents
- 1 Symptoms
- 2 Diagnosis
- 3 Treatment
- 4 References
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Symptoms
Subacute lymphocytic thyroiditis features a small goiter without tenderness. This condition tends to have a phase of hyperthyroidism followed by a return to a euthyroid state, and then a phase of hypothyroidism, followed again by a return to the euthyroid state. The time span of each phase can vary; however, each phase usually lasts 2-3 months.[1]
Diagnosis
Subacute lymphocytic thyroiditis can only be diagnosed correctly by taking a radioactive iodine uptake test, or RAIU test.[1][3]
During the hyperthyroid phase, iodine uptake is suppressed, while during the hypothyroid phase, uptake is increased.[4]
This situation contrasts greatly with the elevated iodine uptake found in patients with Graves' disease.[1]
Treatment
Treatment is based on symptoms. Beta-blockers relieve rapid heart rate and excessive sweating during the hyperthyroid phase.[4]
References
- ^ a b c d Thyroiditis: Differential Diagnosis and Management, American Family Physician,February 15, 2000
- ^ "Subacute lymphocytic thyroiditis" at Dorland's Medical Dictionary
- ^ Description of Radioactive Iodine Uptake Test, WebMD.com, August 14, 2008
- ^ a b NIH Medline Plus
Endocrine pathology: endocrine diseases (E00–E35, 240–259)
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Pancreas/
glucose
metabolism |
Hypofunction |
- types:
- type 1
- type 2
- MODY 1 2 3 4 5 6
- complications
- coma
- angiopathy
- ketoacidosis
- nephropathy
- neuropathy
- retinopathy
- cardiomyopathy
- insulin receptor (Rabson–Mendenhall syndrome)
- Insulin resistance
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Hyperfunction |
- Hypoglycemia
- beta cell (Hyperinsulinism)
- G cell (Zollinger–Ellison syndrome)
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Hypothalamic/
pituitary axes |
Hypothalamus |
- gonadotropin
- Kallmann syndrome
- Adiposogenital dystrophy
- CRH (Tertiary adrenal insufficiency)
- vasopressin (Neurogenic diabetes insipidus)
- general (Hypothalamic hamartoma)
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Pituitary |
Hyperpituitarism |
- anterior
- Acromegaly
- Hyperprolactinaemia
- Pituitary ACTH hypersecretion
- posterior (SIADH)
- general (Nelson's syndrome)
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Hypopituitarism |
- anterior
- Kallmann syndrome
- Growth hormone deficiency
- ACTH deficiency/Secondary adrenal insufficiency
- GnRH insensitivity
- FSH insensitivity
- LH/hCG insensitivity
- posterior (Neurogenic diabetes insipidus)
- general
- Empty sella syndrome
- Pituitary apoplexy
- Sheehan's syndrome
- Lymphocytic hypophysitis
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Thyroid |
Hypothyroidism |
- Iodine deficiency
- Cretinism
- Congenital hypothyroidism
- Myxedema
- Euthyroid sick syndrome
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Hyperthyroidism |
- Hyperthyroxinemia
- Thyroid hormone resistance
- Familial dysalbuminemic hyperthyroxinemia
- Hashitoxicosis
- Thyrotoxicosis factitia
- Graves' disease
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Thyroiditis |
- Acute infectious
- Subacute
- De Quervain's
- Subacute lymphocytic
- Autoimmune/chronic
- Hashimoto's
- Postpartum
- Riedel's
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Goitre |
- Endemic goitre
- Toxic nodular goitre
- Toxic multinodular goiter
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Parathyroid |
Hypoparathyroidism |
- Hypoparathyroidism
- Pseudohypoparathyroidism
- Pseudopseudohypoparathyroidism
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Hyperparathyroidism |
- Primary
- Secondary
- Tertiary
- Osteitis fibrosa cystica
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Adrenal |
Hyperfunction |
- aldosterone: Hyperaldosteronism/Primary aldosteronism
- Conn syndrome
- Bartter syndrome
- Glucocorticoid remediable aldosteronism
- AME
- Liddle's syndrome
- 17α CAH
- cortisol: Cushing's syndrome (Pseudo-Cushing's syndrome)
- sex hormones: 21α CAH
- 11β CAH
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Hypofunction/
Adrenal insufficiency
(Addison's, WF) |
- aldosterone: Hypoaldosteronism
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Gonads |
- ovarian: Polycystic ovary syndrome
- Premature ovarian failure
- testicular: enzymatic
- 5α-reductase deficiency
- 17β-hydroxysteroid dehydrogenase deficiency
- aromatase excess syndrome)
- Androgen receptor (Androgen insensitivity syndrome
- general: Hypogonadism (Delayed puberty)
- Hypergonadism
- Hypoandrogenism
- Hypoestrogenism
- Hyperandrogenism
- Hyperestrogenism
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Height |
- Dwarfism/Short stature
- Laron syndrome
- Psychosocial
- Gigantism
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Multiple |
- Autoimmune polyendocrine syndrome
- Carcinoid syndrome
- Multiple endocrine neoplasia
- Progeria
- Werner syndrome
- Acrogeria
- Metageria
- Woodhouse-Sakati syndrome
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noco (d)/cong/tumr, sysi/epon
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proc, drug (A10/H1/H2/H3/H5)
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UpToDate Contents
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English Journal
- Early Hypoparathyroidism Reversibility with Treatment of Riedel's Thyroiditis.
- Stan MN1, Haglind EG2, Drake MT1.
- Thyroid : official journal of the American Thyroid Association.Thyroid.2015 Sep;25(9):1055-9. doi: 10.1089/thy.2015.0212. Epub 2015 Aug 17.
- BACKGROUND: Riedel's thyroiditis (RT) is a rare, fibroinflammatory condition which induces gradual thyroid gland destruction and adjacent soft-tissue fibrous infiltration. About one- seventh of RT cases are associated with hypoparathyroidism, necessitating long-term therapy for symptomatic hypocalce
- PMID 26200816
- Demographic data of thyroiditis from a south Indian city.
- Kalra P1, Kumar KM2, Kallur KG3, Vadyanathan V4, Nadig M5, Shankar M6.
- Indian journal of endocrinology and metabolism.Indian J Endocrinol Metab.2015 Mar-Apr;19(2):300-2. doi: 10.4103/2230-8210.149326.
- BACKGROUND: Thyroiditis involves thyroid gland inflammation due to a wide variety of causes. The common varieties are subacute, silent and postpartum thyroiditis.AIMS AND OBJECTIVES: To retrospectively collect demographic data of thyroiditis from Bangalore over the past 5 years.MATERIALS AND METHODS
- PMID 25729697
- Diagnosis and classification of autoimmune gastritis.
- Toh BH1.
- Autoimmunity reviews.Autoimmun Rev.2014 Apr-May;13(4-5):459-62. doi: 10.1016/j.autrev.2014.01.048. Epub 2014 Jan 11.
- Autoimmune gastritis is a silent and highly prevalent disease that only becomes clinically manifested with progression to corpus atrophy and development of iron deficient or B12-deficient (pernicious) anaemia. Autoimmune gastritis is associated with autoimmune thyroiditis and type 1 diabetes mellitu
- PMID 24424193
Japanese Journal
- 無痛性甲状腺炎,亜急性甲状腺炎 (特集 甲状腺疾患 : 診断・治療の最新動向) -- (主要疾患の病態・診断・治療)
- Silent Thyroiditis in Uncommon Setting
- Autoimmune Thyroid Disease in Children and Adolescents With Idiopathic Pulmonary Arterial Hypertension
- SATOH Mari,ASO Keiko,NAKAYAMA Tomotaka,NAOI Kazuyuki,IKEHARA Satoshi,UCHINO Yumiko,SHIMADA Hiromitsu,TAKATSUKI Shinichi,MATSUURA Hiroyuki,SAJI Tsutomu
- Circulation journal : official journal of the Japanese Circulation Society 74(2), 371-374, 2010-01-25
- … 2 patients developed Graves' disease, 2 developed silent thyroiditis, and 3 had antithyroid antibodies with euthyroidism. …
- NAID 10025942805
Related Links
- Silent or painless thyroiditis is a frequent cause of transient hyperthyroidism, which is characterized by recent onset of symptoms in a patient with a normal to modestly enlarged and firm thyroid gland. The hallmarks of the disease ...
- Expectations (prognosis) Generally, silent thyroiditis will go away on its own within 1 year. The acute phase will end within 3 months. Some people may develop hypothyroidism over time. Regular follow-ups with a doctor ...
Related Pictures
★リンクテーブル★
[★]
- 英
- painless thyroiditis silent thyroiditis
- 関
- 甲状腺、甲状腺ホルモン、甲状腺中毒症
検査
- 甲状腺の集積は認められない。
- 唾液腺に生理的取り込みがある。
[show details]
国試
[★]
- 英
- silent thyroiditis
- 関
- 無痛性甲状腺炎
[★]
- 無音の、沈黙の、(医療)無症状の、無症候性の、(遺伝;表現型として)無変化の、サイレントな
- 関
- asymptomatic、asymptomatically、silence、subclinical、symptomless