Thyroiditis, sporadic and endemic goiter

Question 1

Hashimoto thyroiditis

Answer 1

Most occur in women of 60-70 years. An autoimmune reaction. Early phase of hyperthyroidism before the hormone decreases. An enlarged and non-tender goiter due to lymphatic and plasma cell invasion

Question 2

Subacute (deQuervain) granulomatous thyroiditis

Answer 2

Occurs more in females than males. It is a painful goiter with focal destruction, due to granulomatous inflammation. Viral etiology (associated with mumps, coxsackie virus). Self limiting.

Question 3

Reidel fibrosing thyroiditis

Answer 3

Occurs more in females than males. Autoantibody destruction of gland resulting in atrophy and fibrous replacement of the gland

Question 4

Post partum thyroiditis (PPT)

Answer 4

Occurs right after giving birth due to the adjustment of the immune system

Question 5

Endemic goiter

Answer 5

Occurs in areas associated with iodine deficiency in high frequency. This can be areas where no seafood is being eaten.

Question 6

Sporadic goiter

Answer 6

Occurs in non-deficient areas