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Management of Hashimoto's Thyroiditis

Follow-up of thyroid inflammation, the most common cause of autoimmune hypothyroidism.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Internal Medicine department. Book Appointment →

What is Management of Hashimoto's Thyroiditis?

Hashimoto's thyroiditis (chronic lymphocytic thyroiditis) is a chronic autoimmune thyroid disease that develops when the immune system attacks the thyroid gland. Anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin antibodies are positive and thyroid tissue is progressively destroyed.

Euthyroid state or transient Hashitoxicosis (transient hyperthyroidism due to thyroid destruction) may be seen initially; it progresses to hypothyroidism over time. It is the most common cause of hypothyroidism in areas without iodine deficiency.

Hormone replacement with levothyroxine is required once hypothyroidism develops. In subclinical hypothyroidism (high TSH, normal fT4), the treatment decision is individualized based on the clinical picture and TSH level.

Symptoms

Fatigue and weakness
Cold sensitivity
Weight gain
Constipation
Dry skin and hair loss
Goiter (thyroid enlargement)

Risk Factors

Female sex (5-10 times more common)
Family history of autoimmune thyroid disease
Other autoimmune diseases (type 1 DM, celiac, vitiligo)
Turner syndrome and Down syndrome
Excessive iodine intake

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If fatigue, cold sensitivity and weight gain are present
  • If enlargement is noticed in the neck
  • If elevated TSH is detected
  • Thyroid function should be checked in women planning pregnancy

Treatment Methods

01
Levothyroxine (single daily dose, on empty stomach)
02
TSH target: 0.5-2.5 mIU/L
03
Pregnancy TSH target: Trimester-based adjustment
04
Subclinical hypothyroidism: treatment if TSH >10 or symptomatic
05
Thyroid cancer screening in nodule development

Which Department to Visit?

You can visit our Endokrinoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.