Clinical study of Hashimoto’s thyroiditis
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 2
Abstract
Background: Hashimoto’s thyroiditis, a well known condition affecting the thyroid gland is often under diagnosed due to its wide spectrum of clinical manifestations. As such it could present as a Multi Nodular Goitre, Diffuse Goitre or Solitary Nodule with features of Hypothyroidism, Hyperthyroidism or Euthyroid state. Materials and methods: Total 120 patients with Hashimoto’s Thyroiditis were studied with history, clinical signs and symptoms, recorded in the format and were subjected to hormonal assay, FNAC. Results: Out of 120 cases, 117 were females and 3 were males. All the 120 patients presented with complaint of swelling in the front of the neck, most of the patients presented within 6 months after noticing the swelling. Consistency of the gland was firm in all cases. 75 patients were Multi Nodular Goitre (62.5%), 42 were Diffuse Goitre (35%) and 3 were solitary nodule (2.5%). 57 patients were Hypothyroid (47.5%), 42 patients were Euthyroid (35%) and 21 patients were Hyperthyroid (17.5%). FNAC was positive in 111 patients (92.5%). Antibodies were positive in 105 patients (87.5%). 105 patients were treated conservatively and monitored regularly every 3 months. Conclusion: In Hashimoto’s thyroiditis, the hyperthyroid patients showed high positivity to Anti TPO Antibody, the hypothyroid patients were highly negative to Antibodies, and the Euthyroid patients responded well to Thyroxine therapy. Surgery was mostly required for patients presented with symptoms and signs of obstruction. Incidence of Lymphoma in patients with Hashimoto’s Thyroiditis was usually high.
Authors and Affiliations
Oruganti Shankar, Nimmala Balraj, G Rakesh
Keywords
Related Articles
- EP ID EP417895
- DOI -
- Views 101
- Downloads 0
A study of factors influencing the duration of stay in forensic psychiatric ward patients
Background: Psychiatric patients who are admitted in to forensic psychiatric ward have frequent hospital admissions and prolonged length of hospital stay, may be due to the growing demands in health services and the lim...
Incidentally detected carcinoma in situ in a fibroadenoma of breast in a postmenopausal woman: A case report
Fibroadenomas are the most common benign tumor of the breast. It can occur in women of any age, but the peak incidence seen in young adolescent women during the second and third decades of life. Fibroadenoma is a biphasi...
Etiology, age and sex distribution, investigations and treatment of gallstone pancreatitis
Background: Acute pancreatitis occurs in only 3-7% of patients with gallstones. But gallstones were implicated in about 27% cases of acute pancreatitis reported in a decade prior to 1980. The relative risk of developing...
Study of cervical cytology in papanicolaou smears in a tertiary care center
Background: Cancer cervix is a leading cause of mortality and morbidity in developing countries like India most probably due to lack of proper screening facilities in the rural and suburban areas or due to the lack of aw...
A prospective, randomized controlled study to compare the intubating conditions achieved with suxamethonium and rocuronium bromide
Background: Endotracheal intubation is required for giving general anesthesia for which adequate muscle relaxation is necessary. Suxamethonium is still used as a relaxant for endotracheal intubation Rocuronium, a nondepo...