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Related Concept Videos

Hypothyroidism II: Pathophysiology01:23

Hypothyroidism II: Pathophysiology

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Hypothyroidism is a disorder characterized by insufficient production of thyroid hormones, which regulate metabolism, energy balance, and multiple organ systems.TypesHypothyroidism is classified based on the level of dysfunction. Primary hypothyroidism results from intrinsic thyroid gland dysfunction, causing reduced hormone production despite normal or increased stimulation. Secondary hypothyroidism arises from inadequate thyroid-stimulating hormone (TSH) secretion by the pituitary. Tertiary...
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Hyperthyroidism I: Introduction01:25

Hyperthyroidism I: Introduction

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Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
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Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

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Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH...
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Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

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Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence...
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Graves Disease II: Pathophysiology01:24

Graves Disease II: Pathophysiology

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Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor,...
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Goiter01:27

Goiter

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Goiter refers to an abnormal enlargement of the thyroid gland that may appear as a diffuse goiter (uniform enlargement) or nodular (single or multiple nodules). Functionally, it is classified as nontoxic (normal/low hormone levels) or toxic (excess hormone production).PathophysiologyDiffuse thyroid enlargement typically results from prolonged stimulation by thyroid-stimulating hormone (TSH) or TSH-like agents, commonly seen in hypothyroidism or iodine deficiency. In contrast, in hyperthyroid...
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Thyroid Hemiagenesis Associated with Hashimoto's Thyroiditis.

D Nsame1, A Chadli, L Hallab

  • 1Service d'Endocrinologie, Diabétologie et Maladies Métaboliques, Centre Hospitalier Universitaire Ibn Rochd 1, Quartier des Hôpitaux, Casablanca 20100, Morocco ; Résidante 3ème Endocrinologie, Maladie Métabolique et Nutrition, Centre Hospitalier Universitaire Ibn Rochd 1, Quartier des Hôpitaux, Casablanca 20100, Morocco.

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Thyroid hemiagenesis, a rare congenital condition, involves the failure of one thyroid lobe to develop. This case highlights its association with Hashimoto

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Area of Science:

  • Endocrinology
  • Congenital Anomalies
  • Thyroid Disorders

Background:

  • Thyroid hemiagenesis is a rare congenital anomaly characterized by the incomplete development of one thyroid lobe.
  • This condition can present diagnostic challenges, particularly when associated with other thyroid pathologies.
  • Hashimoto's thyroiditis and Graves' hyperthyroidism are common autoimmune thyroid diseases that may coexist with hemiagenesis.

Purpose of the Study:

  • To report a unique case of thyroid hemiagenesis associated with Hashimoto's thyroiditis.
  • To illustrate the diagnostic process and management of this rare combined condition.
  • To discuss the potential evolution of thyroid disorders in the context of hemiagenesis.

Main Methods:

  • Clinical presentation and patient history review.
  • Diagnostic confirmation using thyroid scintiscanning to identify the absent lobe.
  • Ultrasonography and antithyroid antibody studies to confirm Hashimoto's thyroiditis.

Main Results:

  • A 23-year-old female presented with features initially suggestive of Graves' hyperthyroidism, later evolving into Hashimoto's thyroiditis.
  • Thyroid scintiscanning confirmed hemiagenesis of the right lobe and isthmus.
  • Treatment involved antithyroid drugs (thiamazole) followed by thyroid hormone substitution due to induced hypothyroidism.

Conclusions:

  • Thyroid hemiagenesis can be associated with autoimmune thyroid diseases like Hashimoto's thyroiditis.
  • Accurate diagnosis requires a combination of imaging and serological tests.
  • Management should be tailored to the specific thyroid dysfunction and associated anomalies.