thyroiditis

ICD-10 Codes

Related ICD-10:

Description

Thyroiditis represents a group of conditions that cause inflammation of your thyroid gland [1]. This can lead to various symptoms, including pain and tenderness in the neck area.

Types of Thyroiditis

There are several types of thyroiditis, with Hashimoto's thyroiditis being the most common type [3]. Other forms include subacute thyroiditis, which is an immune reaction that often follows an upper respiratory infection [5], and chronic thyroiditis, caused by a reaction of the immune system against the thyroid gland [8].

Causes and Symptoms

Thyroiditis can be caused by various factors, such as infection, radiation, or trauma. The symptoms may vary depending on the type of thyroiditis, but common signs include:

  • Generalized thyroid enlargement
  • Nonuniform hypoechoic pattern (a nodular appearance)
  • Reduced thyroid function (hypothyroidism)

Autoimmune Disorder

Hashimoto's disease is an autoimmune disorder that affects the thyroid gland [7]. In this condition, the immune system creates antibodies that attack thyroid cells as if they were bacteria or viruses.

Thyroid Gland Function

The thyroid gland plays a crucial role in regulating energy production in the body. It produces hormones that control metabolism, growth, and development [6].

In summary, thyroiditis is an inflammation of the thyroid gland that can lead to various symptoms and types, including Hashimoto's thyroiditis, subacute thyroiditis, and chronic thyroiditis.

References: [1] - Context result 1 [3] - Context result 3 [5] - Context result 5 [6] - Context result 6 [7] - Context result 7 [8] - Context result 8

Additional Characteristics

  • Thyroiditis
  • Hashimoto's thyroiditis
  • subacute thyroiditis
  • chronic thyroiditis

Signs and Symptoms

Thyroiditis refers to inflammation of the thyroid gland, which can lead to various symptoms. Based on the search results, here are some common signs and symptoms of thyroiditis:

  • Weight loss: Despite eating normally, people with thyroiditis may experience weight loss due to increased metabolism (1).
  • Nervousness, anxiety, or irritability: Thyroiditis can cause emotional changes, leading to feelings of nervousness, anxiety, or irritability (7).
  • Trouble sleeping: Some individuals with thyroiditis may have difficulty sleeping or experience insomnia (7).
  • Rapid heart rate: An increased heart rate is a common symptom of thyroiditis, which can be accompanied by palpitations and other cardiovascular issues (7).
  • Fatigue: Feeling tired or exhausted is another sign of thyroiditis, as the inflammation affects the thyroid gland's ability to produce hormones (1, 2, 3, 4, 5, 6, 8).

Additionally, some people with thyroiditis may experience:

  • Muscle weakness: As the thyroid hormone levels decrease, muscle strength and endurance can be affected (1, 3, 4).
  • Sore muscles and joints: Joint pain or stiffness is another symptom that can occur in individuals with thyroiditis (6).

It's essential to note that these symptoms can vary from person to person and may not be present in everyone who experiences thyroiditis. If you're experiencing any of these symptoms, it's crucial to consult a healthcare professional for proper diagnosis and treatment.

References: (1) - [7] (2) - [2] (3) - [3] (4) - [4] (5) - [5] (6) - [6] (7) - Context: Symptoms of thyroiditis · Weight loss · Nervousness, anxiety, or irritability · Trouble sleeping · Rapid heart rate · Fatigue · Muscle weakness (8) - by I Can — What are the symptoms of Hashimoto's disease? · Tiredness (fatigue), lethargy and excessive sleeping. · Mild weight gain. · Constipation. · Dry skin. · Feeling cold.

Additional Symptoms

Diagnostic Tests

Thyroiditis, an inflammation of the thyroid gland, can be diagnosed through various tests. Here are some diagnostic tests used to diagnose thyroiditis:

  • Blood tests: Blood tests can help identify the presence of thyroid antibodies and measure hormone levels in the blood. These tests include:
    • Thyroid-stimulating hormone (TSH) test: Measures TSH levels in the blood, which can indicate if the thyroid gland is producing enough hormones [1].
    • Free thyroxine (FT4) and free triiodothyronine (FT3) tests: Measure the levels of these two hormones in the blood, which can help diagnose hypothyroidism or hyperthyroidism [2].
    • Thyroid antibody tests: Measures the presence of thyroid antibodies, such as antithyroid peroxidase (TPO) and thyroglobulin antibodies, which are often present in autoimmune thyroiditis [3][4].
  • Imaging tests: Imaging tests can help visualize the thyroid gland and identify any abnormalities. These tests include:
    • Thyroid ultrasound: Uses sound waves to create images of the thyroid gland, which can help identify nodules or lumps [5].
    • Nuclear scan/radioactive iodine uptake test: Measures how well the thyroid gland takes up radioactive iodine, which can help diagnose hyperthyroidism or hypothyroidism [6].

It's worth noting that a combination of these tests may be used to diagnose thyroiditis, as each test has its own limitations and can provide different information about the condition.

References:

[1] Context result 3 [2] Context result 2 [3] Context result 4 [4] Context result 5 [5] Context result 8 [6] Context result 8

Additional Diagnostic Tests

  • Blood tests
  • Imaging tests

Treatment

Treatment Options for Thyroiditis

Thyroiditis, an inflammation of the thyroid gland, can be treated with various medications depending on the type and severity of the condition.

  • Hashimoto's Thyroiditis: For patients with Hashimoto's thyroiditis, the primary treatment is thyroid hormone replacement medication, such as levothyroxine (Levoxyl, Synthroid) [1]. This helps to replace the hormones that are not being produced by the thyroid gland.
  • Subacute Thyroiditis: Subacute thyroiditis can be treated with nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, to reduce pain and inflammation [5]. In some cases, high-dose corticosteroids may be prescribed to manage symptoms [5].
  • Hyperthyroidism associated with Thyroiditis: If thyroiditis leads to hyperthyroidism, treatment options include anti-thyroid drugs, such as methimazole (Tapazole), or radioactive iodine [7]. Beta-blockers are also used to control symptoms [7].

Medications Used in Treatment

  • Levothyroxine (Levoxyl, Synthroid) is commonly prescribed for Hashimoto's thyroiditis and hypothyroidism associated with the condition [1], [4].
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or aspirin, are used to treat subacute thyroiditis [5].
  • Corticosteroids, like prednisone, may be prescribed for severe pain in subacute thyroiditis [9].
  • Anti-thyroid drugs, such as methimazole (Tapazole), and radioactive iodine are used to treat hyperthyroidism associated with thyroiditis [7].

References

[1] Context 1: If you have Hashimoto's thyroiditis, your provider will prescribe thyroid hormone replacement medication, such as levothyroxine.

[4] Context 4: Jan 15, 2022 — Hypothyroidism associated with Hashimoto's disease is treated with a synthetic hormone called levothyroxine (Levoxyl, Synthroid, others).

[5] Context 5: by KP Koirala · 2015 · Cited by 38 — Subacute thyroiditis has been treated with either nonsteroidal anti-inflammatory drugs (NSAIDs) or high dose corticosteroids.

[7] Context 7: Apr 21, 2023 — Hyperthyroidism is treated with anti-thyroid drugs, such as Tapazole (methimazole), or radioactive iodine.

[9] Context 9: Severe pain requires treatment with corticosteroids (prednisone).

Recommended Medications

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Differential Diagnosis

Thyroiditis refers to inflammation of the thyroid gland, which can be caused by various factors such as infections, autoimmune disorders, or trauma. Differential diagnosis of thyroiditis involves identifying the underlying cause of the condition.

Possible Causes of Thyroiditis:

  • Autoimmune thyroiditis (e.g., Hashimoto's thyroiditis)
  • Subacute thyroiditis
  • Acute infectious thyroiditis
  • De Quervain's thyroiditis
  • Riedel's thyroiditis

Key Diagnostic Features:

  • Physical examination, elevated erythrocyte sedimentation rate, elevated thyroglobulin level, and depressed radioactive iodine uptake (RAIU) confirm the diagnosis of thyroiditis [5].
  • Imaging studies may be necessary to rule out other conditions that can cause thyroid inflammation.
  • A thorough medical history and physical examination are essential in differentiating between various types of thyroiditis.

Differential Diagnoses:

  • Addison disease
  • Alopecia areata, totalis, and universalis
  • Autoimmune gastritis (pernicious anemia)
  • Chronic lymphocytic thyroiditis

Important Considerations:

  • Most types of thyroiditis cause thyrotoxicosis symptoms followed by hypothyroid symptoms [6].
  • Subacute thyroiditis and acute infectious thyroiditis usually also present with fever, pain, and swelling in the neck.

References:

[5] Slatosky J. (2000) Physical examination, elevated erythrocyte sedimentation rate, elevated thyroglobulin level and depressed radioactive iodine uptake (RAIU) confirm the diagnosis of thyroiditis.

[6] Most types of thyroiditis cause thyrotoxicosis symptoms followed by hypothyroid symptoms.

Note: The above information is based on the search results provided in the context.

Additional Information

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