Clinical Study of Hashimotos Thyroiditis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Background And Objective Hashimoto’s thyroidits is a common cause of goitrous enlargement with hypothyroidism. This study was done to study various clinical presentation with thyroid function and to diagnose and treat the cases with thyroxine and how manycases wanted surgical procedure. METHODS: Patients presenting to surgical out patient with goitrous enlargement were subjected to hormonal assay and FNAC. If FNAC showed features of lymhocytic infiltration they were subjected to autoantibody titers. All the patients with Hashimoto’s thyroidits were put on Thyroxine and regular fllow-up was done to note the clinical signs and symptoms including the size of the goiter. Patients with obstructive symptoms or goiter in whom size did not reduce or for cosmetic reasons were operated. Results: Hashimoto’s thyroidits was more in females and maximum in 30 – 40 years of age group. Out of the 93 cases with the history from 1 month to 4 years, 62% were multinodular goiter, 35% were diffuse goiter and 2.5% was solitary nodule. Regarding thyroid function 47% were hypothyroid , 35% were Euthyroid and 17%were hyperthyroid . FNAC showed Hashimoto’s thyroiditis in about 86 patients out of 93 cases studied . Antibody titers were positive for 87.5% of cases, 11 cases were operated out of which 4 cases had obstructive symptoms. Interpretation And Conclusion: Hashimoto’s thyroidits is more common in females, maximum between 30 –40 years. Most of them had multinodular and diffuse goiters and were in hypothyroid state. Most of the cases were diagnosed with FNAC and treated medically with thyroxine replacement and surgery was rarely required.
Authors and Affiliations
Dr B Sri Lekha, Dr G Raghuveer Chakravarthy, Dr K. A. S. S. N. Kalyan
Keywords
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- EP ID EP594685
- DOI 10.9790/0853-1603042025
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