Symptoms of hypothyroidism in thyroiditis

Written by Liang Yin

Endocrinology

Updated on September 05, 2024

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There are many types of thyroiditis, and the most common one associated with hypothyroidism is Hashimoto's thyroiditis. Symptoms of hypothyroidism include multi-system involvement. In the nervous system, it manifests as reduced memory and attention, and drowsiness; in the cardiovascular system, it presents as bradycardia, faint heart sounds, and cardiac enlargement; in the musculoskeletal system, it manifests as slowed movement and joint disorders; in the digestive system, it presents as loss of appetite, bloating, and constipation; in the respiratory system, it manifests as weak and shallow breathing; in the hematologic system, it can manifest as anemia; in the endocrine system, it can present as reduced gonadal function accompanied by hyperprolactinemia, menorrhagia, amenorrhea or infertility, hair loss, and the skin and mucous membranes appear pale with myxedema.

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Written by Tang Zhuo

Endocrinology

1min

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Hashimoto's thyroiditis symptoms

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is the primary cause of hypothyroidism. The development of Hashimoto's thyroiditis is closely linked to genetic factors and autoimmune abnormalities caused by disorders in iodine metabolism. The clinical manifestations of Hashimoto's thyroiditis vary, with the typical presentation being a diffuse, firm, painless, mild to moderate enlargement of the thyroid gland. Symptoms of compression in the neck and systemic symptoms are usually not prominent. Thyroid function may be normal or reduced, but thyroid autoantibodies such as thyroglobulin antibodies, thyroid peroxidase antibodies, and thyroid-stimulating hormone antibodies are often present in the bloodstream. Patients with Hashimoto's thyroiditis often have a family history of autoimmune diseases.

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Written by Luo Juan

Endocrinology

1min 33sec

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Is thyroiditis fever dangerous?

Fever symptoms in thyroiditis mainly refer to acute suppurative thyroiditis and subacute thyroiditis. Acute suppurative thyroiditis is a purulent infectious disease, often a mixed bacterial infection, commonly occurring after upper respiratory infections or fine-needle aspiration of thyroid nodules. Symptoms can include thyroid enlargement, pain, difficulty swallowing, fever, and other systemic symptoms. Broad-spectrum antibiotics can be used for initial treatment. If the pathogen is identified, the type of antibiotic can be adjusted. Some patients may require incision and drainage if an abscess is present, and in very rare cases, complications such as tracheal obstruction or mediastinitis may occur. Additionally, patients with subacute thyroiditis may also experience fever, usually a mild to moderate increase in body temperature, and in some cases, it can reach 40°C. The fever typically peaks around the third to fourth day and subsides in about a week. Patients with this type of fever can generally use non-steroidal anti-inflammatory drugs, and since subacute thyroiditis is a self-limiting disease, whether the fever in thyroiditis is dangerous depends on the situation.

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Written by Zhang Jun Jun

Endocrinology

1min 11sec

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Symptoms of thyroiditis and hypothyroidism

Because the onset of hypothyroidism is gradual, its early symptoms are atypical. Specific symptoms only appear when there is a decrease in basal metabolic rate and a reduction in sympathetic nerve excitability. Generally, symptoms include cold intolerance, fatigue, swelling of hands and feet, drowsiness, memory decline, reduced sweating, joint pain, weight gain, constipation, and menstrual irregularities such as heavy or light periods, or infertility in women of childbearing age. Additionally, some common clinical signs include expressionless face, slow response, hoarse voice, hearing impairment, pale complexion, edema around the eyelids, face and lower limbs, thick tongue coating often with teeth marks. Moreover, there are also associated symptoms such as dry skin, flaky skin, low skin temperature, and the hands and feet turning a yellowish-orange color.

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Written by Li Hui Zhi

Endocrinology

41sec

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What are the symptoms of thyroiditis?

The symptoms of thyroiditis, if in the early stages, include fever, particularly in the afternoon and evening, with some individuals' temperatures reaching 39 degrees Celsius. Secondly, there is neck pain, which is tender to touch. Thirdly, there may be mild symptoms of hyperthyroidism, such as palpitations, insomnia, irritability, weight loss, and increased frequency of bowel movements. If these symptoms are present, it is important to seek medical attention promptly and undergo diagnosis and treatment under the guidance of a doctor.

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Written by Liang Yin

Endocrinology

42sec

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Symptoms of hypothyroidism in thyroiditis

There are many types of thyroiditis, and the most common one associated with hypothyroidism is Hashimoto's thyroiditis. Symptoms of hypothyroidism include multi-system involvement. In the nervous system, it manifests as reduced memory and attention, and drowsiness; in the cardiovascular system, it presents as bradycardia, faint heart sounds, and cardiac enlargement; in the musculoskeletal system, it manifests as slowed movement and joint disorders; in the digestive system, it presents as loss of appetite, bloating, and constipation; in the respiratory system, it manifests as weak and shallow breathing; in the hematologic system, it can manifest as anemia; in the endocrine system, it can present as reduced gonadal function accompanied by hyperprolactinemia, menorrhagia, amenorrhea or infertility, hair loss, and the skin and mucous membranes appear pale with myxedema.