Lecture24: Pathology Of Thyroid Gland Flashcards
2 causes of Hypothyroidism?
Radiation or Hasimoto’s thyroiditis
Most common cause of Hypothyroidism?
Hashimoto’s Thyroiditis
Explain Hasimoto’s thyroiditis?
A gradual thyroid failure secondary to autoimmune destruction of the gland
Age range of Hashimoto’s thyroiditis and gender?
45-65 mainly female
Which cells are destructive of the thyroid in Hashimoto’s thyroiditis?
CD-4 and CD-8 cells
What is the state of the thyroid in Hasimoto’s thyroiditis?
Enlarged but painless
What precedes Hashimoto’s Thyroiditis?
Transient Hashimotoxicosis
Lab findings of Hashimoto’s thyroiditis?
Severely decreased T4 and T3, with elevated TSH levels
Causes of Hyperthyroidism?
Graves and Thyroid adenoma
What is the immunological explanation of Graves?
IgG prevents TSH from exerting its negative feedback effects
What is the most common manifestation of thyroid disease?
GOITER
What is GOITER?
A simple enlargement of the thyroid
What causes goiter?
Dietary iodine deficiency