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Hashimoto's Thyroiditis

Diagnosis, symptoms, and treatment methods.

General Information About Hashimoto's Thyroiditis

Hashimoto's thyroiditis is an autoimmune disease where the immune system attacks its own thyroid gland as if it were a foreign tissue, slowly destroying the gland. Over time, the thyroid gland becomes unable to produce enough hormones (hypothyroidism). Weight gain, extreme fatigue, and dry skin are the most common symptoms. In our Internal Medicine department, it is diagnosed through blood tests and controlled with lifelong hormone replacement (levothyroxine) therapy.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Hashimoto's?

It is when the body's defense mechanism makes a mistake and produces antibodies against the thyroid gland in the neck, inflaming it, shrinking it, and disrupting its capacity to produce hormones.

Who Does It Affect Most Often?

The disease is seen 7-10 times more frequently in women, especially middle-aged women (30-50 years old), than in men. Genetic predisposition and family history play a very important role in the development of the disease.

What are the Symptoms?

As thyroid hormone levels fall, the metabolism slows down; persistent fatigue, extreme sensitivity to cold, weight gain (or inability to lose weight), constipation, deepening of the voice, hair loss, and dry skin occur.

Does It Cause a Goiter (Neck Swelling)?

Yes. In the early stages of the disease, the gland under immune attack may enlarge as it struggles to work harder to produce hormones (Hashimoto's Goiter). In advanced stages, the gland shrinks completely and atrophies.

How is it Diagnosed?

A high TSH level and low T4 hormone in the blood indicate hypothyroidism. However, a definitive Hashimoto's diagnosis is made by detecting elevated levels of Anti-TPO and Anti-Tg antibodies, which attack the thyroid gland, in the blood.

What is the Treatment? Will It Heal?

There is no drug that stops the immune system from destroying the thyroid. The goal of the treatment is to replace the missing hormone. Patients lead a lifelong healthy life by taking a synthetic thyroid hormone (Levothyroxine) pill every morning on an empty stomach.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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