Can Hashimoto's thyroiditis be cured?

Written by Chen Xie
Endocrinology
Updated on September 05, 2024
00:00
00:00

Hashimoto's thyroiditis is an autoimmune thyroiditis in which the body itself has autoimmune antibodies, leading to the destruction of thyroid follicular cells and the release of a large amount of thyroid hormones, possibly resulting in hyperthyroidism. Some patients may experience hyperthyroidism for years or even decades, which requires anti-hyperthyroidism treatment. However, as the disease progresses, further destruction of thyroid function may occur, resulting in hypothyroidism. For patients with Hashimoto's thyroiditis, once hypothyroidism occurs, it is usually progressive. Therefore, once hypothyroidism occurs in patients with Hashimoto's thyroiditis, lifelong replacement therapy with levothyroxine is necessary, as Hashimoto's thyroiditis cannot be completely cured, but clinical remission can be achieved through replacement therapy.

Other Voices

doctor image
home-news-image
Written by Chen Xie
Endocrinology
1min 19sec home-news-image

Can Hashimoto's thyroiditis patients eat iodized salt?

Hashimoto's thyroiditis is an autoimmune thyroid disease, which can manifest in three thyroid function states: hyperthyroidism, euthyroidism, and hypothyroidism. The dietary requirements for iodized salt vary depending on the thyroid state. When Hashimoto's thyroiditis coexists with hyperthyroidism, an iodine-restricted diet is necessary. When thyroid function is normal in Hashimoto's thyroiditis, iodine intake should still be limited, as excessive iodine can cause a thyroiditis that changes from euthyroid to dysfunctional. Therefore, iodized salt can be consumed, but the intake of iodine-rich foods such as kelp, seaweed, and seafood should be restricted. When Hashimoto's thyroiditis coincides with hypothyroidism, iodized salt can be consumed without specific restrictions; both iodized and non-iodized salt are acceptable. This is because, at this stage, thyroid function primarily requires hormone replacement therapy, so the consumption of iodized salt has no effect.

doctor image
home-news-image
Written by Tang Zhuo
Endocrinology
53sec home-news-image

How to test for Hashimoto's thyroiditis?

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is a common type of autoimmune thyroid disease and the main cause of primary hypothyroidism. Often, Hashimoto's thyroiditis may present no symptoms, having hidden onset and slow development. Typical symptoms include general fatigue, throat discomfort, localized pressure, or dull pain. Hashimoto's thyroiditis can lead to damage by the autoimmune system, causing permanent hypothyroidism. Diagnosis can be facilitated through thyroid function tests, iodine-131 uptake tests, anti-thyroid antibody tests, thyroid ultrasound, and thyroid nuclear scanning.

doctor image
home-news-image
Written by Chen Xie
Endocrinology
1min 8sec home-news-image

Hashimoto's thyroiditis diagnostic indicators

Hashimoto's thyroiditis is a type of autoimmune thyroiditis, which can present in various phases regarding thyroid function, manifesting as hyperthyroidism, hypothyroidism, or normal thyroid function. Therefore, for patients with Hashimoto's thyroiditis, it is necessary to check thyroid function to understand its status. Since Hashimoto's thyroiditis is an autoimmune thyroiditis, the thyroid peroxidase antibodies and thyroglobulin antibodies are generally elevated. Additionally, it is necessary to perform thyroid ultrasound to assess the thyroid's condition. For some difficult-to-distinguish patients, a further examination such as a 131I uptake test can be conducted, where the uptake rate in Hashimoto's thyroiditis is reduced. Even further, a fine needle aspiration biopsy of the thyroid can be performed, where we can observe significant lymphocyte infiltration.

doctor image
home-news-image
Written by Tang Zhuo
Endocrinology
1min 41sec home-news-image

How is Hashimoto's thyroiditis treated?

Hashimoto's thyroiditis is a chronic autoimmune disease and is the most common form of thyroid inflammation clinically. It can be diagnosed through thyroid function tests, iodine-131 uptake tests, thyroid antibody tests, and ultrasound examinations. If there are changes in imaging or if serum anti-thyroglobulin antibodies and anti-thyroperoxidase antibodies are positive, a diagnosis can be confirmed. Regarding treatment, if thyroid function is normal in Hashimoto's thyroiditis, no treatment is necessary, but close monitoring and observation are advised. If Hashimoto's thyroiditis is accompanied by transient hyperthyroidism, symptomatic treatment with beta-blockers can be administered. If there is a decrease in thyroid gland function, thyroid hormone replacement therapy should be initiated, typically with levothyroxine tablets, until thyroid function tests return to normal. Additionally, daily care is important, such as avoiding high doses of iodine intake, maintaining regular sleep patterns, avoiding staying up late, maintaining a positive and optimistic mood, avoiding anxiety and stress, preventing common cold and trauma infections, and ensuring a balanced diet with high protein, low fat, high carbohydrate, and high vitamin content.

doctor image
home-news-image
Written by Li Hui Zhi
Endocrinology
50sec home-news-image

How is Hashimoto's thyroiditis diagnosed?

Firstly, it is important to check thyroid function for Hashimoto's thyroiditis, which involves a specific antibody, the anti-thyroid peroxidase antibody (TPOAb). If this antibody is significantly elevated, it supports the diagnosis of Hashimoto's thyroiditis. Additionally, a thyroid ultrasound should be combined, and if there is severe enlargement, a thyroid fine-needle aspiration can be conducted to assist in treatment. After a confirmed diagnosis of Hashimoto's thyroiditis, it is also necessary to assess thyroid function to determine if there is concurrent hyperthyroidism or hypothyroidism. Treatment should then be administered based on the specific condition of the patient.