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Related Concept Videos

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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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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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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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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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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Related Experiment Video

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Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
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Thyroid dysfunction following a kelp-containing marketed diet.

Tiziana Di Matola1, Pio Zeppa2, Maurizio Gasperi3

  • 1A.O.R.N. dei Colli Hospital, Naples, Italy.

BMJ Case Reports
|October 31, 2014
PubMed
Summary
This summary is machine-generated.

Kelp-containing weight loss diets can cause thyroid dysfunction. Excessive iodine from kelp led to hyperthyroidism, then hypothyroidism, reversible with treatment.

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Area of Science:

  • Endocrinology
  • Nutritional Science
  • Toxicology

Background:

  • Dietary supplements, particularly herbal and complementary medicines for weight loss, are increasingly popular.
  • Kelp is a common ingredient in such supplements due to its purported weight loss benefits.

Observation:

  • A 45-year-old woman with no prior thyroid disease developed hyperthyroidism after consuming a kelp-containing diet.
  • Her hyperthyroidism resolved over two months, followed by overt hypothyroidism.
  • Thyroid scintiscan showed extremely low uptake, and Doppler ultrasonography revealed pulsatile flow.

Findings:

  • The patient's condition is consistent with iodine-induced thyrotoxicosis.
  • Excessive iodine intake from kelp likely inhibited the sodium-iodide symporter.
  • Thyroid function normalized after three months of levothyroxine therapy and discontinuation.

Implications:

  • Consumers using kelp-rich diets should be aware of potential thyroid dysfunction risks.
  • Even individuals without pre-existing thyroid conditions can be affected by high iodine intake.
  • This case highlights the importance of monitoring thyroid function when using iodine-rich supplements.