Graves disease vs thyroiditis
Common Questions and Answers about Graves disease vs thyroiditis
graves-disease
from "endocrine web":
"
Hashimoto's Thyroiditis. Hashimoto's Thyroiditis (also called autoimmune or chronic lymphocytic thyroiditis) is the most common type of thyroiditis. It is named after the Japanese physician, Hakaru Hashimoto, that first described it in 1912. The thyroid gland is always enlarged, although only one side may be enlarged enough to feel.
TSH Receptor Ab is a blood test for Graves' disease that in your case appears to be negative. It may be necessary to do an I-123 uptake (pending ultrasound results) to determine Graves' vs thyroiditis vs toxic nodule(s) as the cause of the hyperthyroidism.
From the internet: Both Graves' disease and chronic thyroiditis (Hashimoto's thyroiditis) are autoimmune diseases of thyroid gland.
Have you been tested for Graves Disease and/or Hashimoto's Thyroiditis? Both of these are autoimmune conditions that present with hyperthyroidism (low TSH and Free T4 and Free T3 in the upper ranges - that's assuming you had the FREE T4 and FREE T3 tested vs Total T4 and Total T3...
It's not just carbimazole that can cause swelling of the thyroid or nodular enlargement. So can thyroid conditions, in general.
In conclusion, our findings indicate that because of low sensitivity of sonography, differentiation between Graves’ disease and Hashimoto’s thyroiditis is not possible but due to high specificity it can differentiate normal thyroid from Graves’ disease or Hashimoto’s thyroiditis. It is suggested that if thyroiditis or Graves’ disease is defined by sonography, it should be further confirmed by clinical and laboratory with laboratory data. "
https://www.ncbi.nlm.nih.
I've just been diagnosed with Graves' Disease. I have autoimmune thyroid disease that has changed from being primary Hashimoto's thyroiditis to Graves's Disease. I was diagnosed in 1997 with Fibromyalgia. I also have severe osteoarthritis, especially in both hands. What am I doing wrong? The doctor told me I'm a very strange case. What's that mean?
01, FT4 17 (12-22) mid range
A doctor who did the ultrasound in March told me I had thyroiditis while the endocrinologist diagnosed me with Graves disease. He insisted I take the antithyroid drugs but I did not because I was convinced that my hyperthyroidism was either silent thyroiditis or induced by iodine (from August to September I had taken a supplement containing iodine without knowing it & my diet has mostly been iodine deficient).
This sounds like graves which can also have positive TPO antibodies. Hashitoxicosis is not nearly as common. In either case, the immune system is attacking your thyroid causing a release of thyroid hormone and hyperthyroidism. Treatment should be considered -- would work with an endocrinologist to treat hyperthyroidism.
TSI and TBII are additional blood tests that may be helpful. An I-123 uptake would show elevated iodine uptake in Graves.
Excerpt from Touch Endocrinology - Hashitoxicosis – Three Cases and a Review of the Literature...
"It should be pointed out that, especially in the US literature, the term ‘hashitoxicosis’ is sometimes used to describe an autoimmune thyroid disease overlap syndrome of Graves’ and Hashimoto’s disease.2 In this article the term is strictly limited to the ‘leakage’ symptoms of active Hashimoto’s disease.
I too have Graves Disease and sufferred with thyroiditis for minimum 2 years until I had RAI done, then a thyroidectomy.
Anyone can get thyroiditis...either Hashimoto or Graves Disease sufferes.
Its as Stella said....your antibodies are attacking the thyroid and if after 4 years you have been unable to control the Hyperthyroidism, then a TT would most probably be the best thing..... BUT.....
Before they go removing your thyroid...how was Graves diagnosed?
Bloods?Ultrasound? Uptake Scan?
d really want to see an FT3, but I agree with mommyof2909 -- get antibodies tested. TSI (thyroid stimulating immunoglobulin) will confirm/rule out Graves Disease. but also have them test TPOab and TGab, to test for Hashimoto's Thyroiditis........both are autoimmune thyroid diseases in which antibodies gradually destroy the thyroid; and both can be present at the same time.
The most common forms of autoimmune thyroid disease are Hashimoto’s thyroiditis and Graves’ disease. Hashimoto’s thyroiditis (also known as chronic thyroiditis) may lead to hypothyroidism, while Graves’ disease is usually associated with hyperthyroidism.
What is the likely cause of hyperthyroidism if there is no inflammation? My dr thinks I have postpartum thyroiditis but I think that would require inflammation. Also in Grave's Disease the thyroid is inflamed. Does anyone have any clue why I don't have inflammation or is there a common reason for hyperthyroidism where inflammation is not necessary for a diagnosis?
Hashimoto's thyroiditis has been reported in patients previously diagnosed with Graves' disease. There is a study "Hashimoto's thyroiditis following Graves' disease." you can read on pubmed. PMID: 20305330.
2.2 and 235. My endo told me it was either thyroiditis or graves disease. Wants me to wait a couple more weeks before getting the thyroid scan. My question is: is it ok to wait? how does she know it is not cancer or something like that? are my numbers really high or just mild? if it is thyroiditis when will it go away, I am very ready to exercise again. In your expert opinion would I be able to run a marathon in May, I am currently a runner.
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