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
47sec home-news-image

Does Hashimoto's thyroiditis cause weight loss?

Hashimoto's thyroiditis is an autoimmune thyroiditis where autoantibodies within the body cause the destruction of thyroid follicular cells, leading to thyroid cell failure. During the course of Hashimoto's thyroiditis, hyperthyroidism may occur. Due to the destruction of thyroid follicles by autoantibodies, a significant release of thyroid hormones into the blood occurs, resulting in a hyperthyroid state. Therefore, symptoms such as weight loss, heat intolerance, and excessive sweating which are typical of hyperthyroidism may also appear in Hashimoto's thyroiditis. However, as the disease progresses, the condition gradually leads to decreased thyroid function.

doctor image
home-news-image
Written by Chen Xie
Endocrinology
44sec home-news-image

Does Hashimoto's thyroiditis require medication?

Hashimoto's thyroiditis refers to the destruction of thyroid tissue by autoimmune cells. Therefore, during the course of the disease, three states of thyroid function can be manifested: hyperthyroidism, euthyroid state, and hypothyroidism. When the patient presents with hyperthyroidism, it is possible to treat with anti-thyroid drugs, but the dosage of the anti-thyroid drugs should be reduced. When thyroid function is normal, no special treatment is needed, and regular thyroid function testing is sufficient. When there is concurrent hypothyroidism, thyroid hormone replacement therapy is required to achieve clinical healing.

doctor image
home-news-image
Written by Chen Xie
Endocrinology
1min 11sec home-news-image

How to cure Hashimoto's thyroiditis?

Hashimoto's thyroiditis is characterized by autoimmune antibodies destroying the thyroid gland, leading to a gradual decline in thyroid function and manifesting symptoms of hypothyroidism. Currently, this disease is incurable. Treatment mainly includes restricting iodine intake to keep it within a safe range to prevent the progression of autoimmune destruction of the thyroid. Patients who only have thyroid swelling without hypothyroidism generally do not require treatment. However, once hypothyroidism occurs, it can be treated with levothyroxine to alleviate the symptoms of hypothyroidism. Nevertheless, current levothyroxine treatment cannot stop the progression of the disease. When the thyroid swells rapidly with local pain or compressive symptoms, treatment with glucocorticoids can be considered. However, if the symptoms do not improve or the compressive symptoms are significant, surgical treatment may be considered, although the likelihood of developing hypothyroidism post-surgery is higher.

doctor image
home-news-image
Written by Li Hui Zhi
Endocrinology
42sec home-news-image

What are the symptoms of Hashimoto's thyroiditis?

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is an autoimmune disease. Its main manifestation includes possible enlargement of the thyroid in some people. If Hashimoto's thyroiditis is accompanied by hypothyroidism, symptoms may include general fatigue, constipation, bradycardia, and edema. If these symptoms are present, it is important to visit an endocrinology specialist promptly for further thyroid function tests, thyroid ultrasonography, thyroid peroxidase antibody tests, and other examinations to confirm the diagnosis.

doctor image
home-news-image
Written by Tang Zhuo
Endocrinology
1min 9sec home-news-image

Is Hashimoto's thyroiditis severe?

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is a common type of autoimmune thyroid disease. Hashimoto's thyroiditis is the most common cause of hypothyroidism. If hypothyroidism caused by Hashimoto's thyroiditis is identified, long-term administration of levothyroxine can achieve good control. It is worth noting that the clinical manifestations of Hashimoto's thyroiditis are often atypical, or may coexist with other thyroid diseases, or other autoimmune diseases. Special attention needs to be paid to certain types of Hashimoto's thyroiditis. One such type is Hashitoxicosis, Hashimoto's pseudohyperthyroidism, or Hashimoto's thyroiditis accompanied by thyroid tumors, Hashimoto's encephalopathy, or Hashimoto's with proptosis. These special types require particular attention.