Learn About Hashimoto Thyroiditis

What is the definition of Hashimoto Thyroiditis?

Hashimoto thyroiditis is a condition that affects the function of the thyroid, which is a butterfly-shaped gland in the lower neck. The thyroid makes hormones that help regulate a wide variety of critical body functions. For example, thyroid hormones influence growth and development, body temperature, heart rate, menstrual cycles, and weight. Hashimoto thyroiditis is a form of chronic inflammation that can damage the thyroid, reducing its ability to produce hormones.

One of the first signs of Hashimoto thyroiditis is an enlargement of the thyroid called a goiter. Depending on its size, the enlarged thyroid can cause the neck to look swollen and may interfere with breathing and swallowing. As damage to the thyroid continues, the gland can shrink over a period of years and the goiter may eventually disappear.

Other signs and symptoms resulting from an underactive thyroid can include excessive tiredness (fatigue), weight gain or difficulty losing weight, hair that is thin and dry, a slow heart rate, joint or muscle pain, and constipation. People with this condition may also have a pale, puffy face and feel cold even when others around them are warm. Affected women can have heavy or irregular menstrual periods and difficulty conceiving a child (impaired fertility). Difficulty concentrating and depression can also be signs of a shortage of thyroid hormones.

Hashimoto thyroiditis usually appears in mid-adulthood, although it can occur earlier or later in life. Its signs and symptoms tend to develop gradually over months or years.

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What are the causes of Hashimoto Thyroiditis?

Hashimoto thyroiditis is thought to result from a combination of genetic and environmental factors. Some of these factors have been identified, but many remain unknown.

Hashimoto thyroiditis is classified as an autoimmune disorder, one of a large group of conditions that occur when the immune system attacks the body's own tissues and organs. In people with Hashimoto thyroiditis, white blood cells called lymphocytes accumulate abnormally in the thyroid, which can damage it. The lymphocytes make immune system proteins called antibodies that attack and destroy thyroid cells. When too many thyroid cells become damaged or die, the thyroid can no longer make enough hormones to regulate body functions. This shortage of thyroid hormones underlies the signs and symptoms of Hashimoto thyroiditis. However, some people with thyroid antibodies never develop hypothyroidism or experience any related signs or symptoms.

People with Hashimoto thyroiditis have an increased risk of developing other autoimmune disorders, including vitiligo, rheumatoid arthritis, Addison disease, type 1 diabetes, multiple sclerosis, and pernicious anemia.

Variations in several genes have been studied as possible risk factors for Hashimoto thyroiditis. Some of these genes are part of a family called the human leukocyte antigen (HLA) complex. The HLA complex helps the immune system distinguish the body's own proteins from proteins made by foreign invaders (such as viruses and bacteria). Other genes that have been associated with Hashimoto thyroiditis help regulate the immune system or are involved in normal thyroid function. Most of the genetic variations that have been discovered are thought to have a small impact on a person's overall risk of developing this condition.

Other, nongenetic factors also play a role in Hashimoto thyroiditis. These factors may trigger the condition in people who are at risk, although the mechanism is unclear. Potential triggers include changes in sex hormones (particularly in women), viral infections, certain medications, exposure to ionizing radiation, eating large amounts of foods that contain animal proteins, and excess consumption of iodine (a substance involved in thyroid hormone production).

Additional Information from NCBI Gene:

How prevalent is Hashimoto Thyroiditis?

Hashimoto thyroiditis affects 1 to 2 percent of people in the United States. It occurs more often in women than in men, which may be related to hormonal factors. The condition is the most common cause of thyroid underactivity (hypothyroidism) in the United States.

Is Hashimoto Thyroiditis an inherited disorder?

The inheritance pattern of Hashimoto thyroiditis is unclear because many genetic and environmental factors appear to be involved. However, the condition can cluster in families, and having a close relative with Hashimoto thyroiditis or another autoimmune disorder likely increases a person's risk of developing the condition.

Who are the top Hashimoto Thyroiditis Local Doctors?
Highly rated in

University Of Messina

Messina, IT 

Tommaso Aversa is in Messina, Italy. Aversa is rated as an Elite expert by MediFind in the treatment of Hashimoto Thyroiditis. He is also highly rated in 13 other conditions, according to our data. His top areas of expertise are Hashimoto Thyroiditis, Gonadal Dysgenesis, Hypothyroidism, and Hyperthyroidism.

Highly rated in

Medical University Of Silesia

Katowice, SL, PL 

Robert Krysiak is in Katowice, Poland. Krysiak is rated as an Elite expert by MediFind in the treatment of Hashimoto Thyroiditis. He is also highly rated in 65 other conditions, according to our data. His top areas of expertise are Hashimoto Thyroiditis, Hypothyroidism, Autoimmune Polyglandular Syndrome Type 2, and Autoimmune Polyendocrinopathy-Candidiasis-Ectodermal Dystrophy.

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Highly rated in

University Of Messina

Messina, IT 

Salvatore Benvenga is in Messina, Italy. Benvenga is rated as an Elite expert by MediFind in the treatment of Hashimoto Thyroiditis. He is also highly rated in 20 other conditions, according to our data. His top areas of expertise are Hypothyroidism, Hashimoto Thyroiditis, Hyperthyroidism, and Graves Disease.

What are the latest Hashimoto Thyroiditis Clinical Trials?
Study on the Effect of Selenium Supplementation on the Structure and Function of Autoimmune Thyroiditis
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Association of Serum Fibroblast Growth Factor 21 (FGF-21) Levels With Resting Metabolic Rate (RMR), in Children and Adolescents With Hashimoto's Thyroiditis.
What are the Latest Advances for Hashimoto Thyroiditis?
The Myxedema coma in children and adolescents: A rare endocrine emergency - Personal experience and review of literature.
Malignancy Rate of Bethesda Class III Thyroid Nodules Based on the Presence of Chronic Lymphocytic Thyroiditis in Surgical Patients.
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Confabulation, amnesia and motor memory loss as a presentation of apparent ITPR1 antibody autoimmune encephalitis.