HASHIMOTO’S THYROIDITIS – SYMPTOMS AND SIGNS

  • Thyroid gland is usually enlarged (goiter). The goiter isnodular, with a firm or rubbery consistency and moves freely on swallowing.
  • Feeling of tightness in the neck but pain or tenderness isusually not present.
  • Thyroiditis often progresses to hypothyroidism which is usually permanent and only remits (diminishes) in less than 5% of cases. Depression and chronic fatigue are common in such patients even after correction of hypothyroidism.
  • Patients may have dry mouth (xerostomia) or dry eyes(keratoconjunctivitis sicca) related to Sjorgen’s syndrome (it is a condition characterized by dryness of eyes and mouth, often associated with rheumatoid arthritis).
  • It may be associated with myasthenia gravis (A disease characterized by progressive fatigue and generalized weakness of the skeletal muscles, especially those of the face, neck, arms, and legs).
  • Post-partum thyroiditis: This form of autoimmune thyroiditis occurs soon after delivery and is accompanied by temporary hyperthyroidism followed by temporary hypothyroidism (which occurs 3-6 months after delivery). Recovery usually occurs in most of the cases.