Dubai Thyroid Clinic

Dubai Thyroid Clinic

Hashimoto Disease (Lymphocytic Thyroiditis)

It is the most common inflammatory disorder of the thyroid and the leading cause of hypothyroidism.

Hashimoto's thyroiditis is an auto immune process with specificity for thyroid antigens against thyroid cells and receptors.

Hypothyroidism results not only from the destruction of thyrocytes and also from block TSH-R.

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Clinical Presentation

It is common in women (male - female ratio 1:10 ) between the ages of 30 and 50 years old. The most common presentation is that of a minimally or moderately enlarged firm granular gland discovered  on routine physical examination or the awareness of a painless anterior neck mass. 20% of patients present with hypothyroidism. 5% present with hyperthyroidism.

Diagnostic Studies

  • Suspected clinically
  • Elevated TSH
  • Elevated TPO (95%)
  • FNAB from thyroid  enlargement or from a solitary nodule 

Treatment

Thyroid hormone replacement with a goal of maintaining normal TSH levels.

Surgery

It may occasionally be indicated for suspicion of malignancy or for goiters causing compressive symptoms or cosmetic deformity. 

 

Dubai Thyroid Clinic- DRHC provides treatment for hypothyroidism, hyperthyroidism, thyroid cancer, thyroid disease, thyroidectomy and thyroid surgery .

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